Individual provider Active NPI

Albert Khavkin, D.O

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
National Provider Identifier
1871534578
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
1185 Issued in NV
Practice address
204 Luxaire CT
Las Vegas, NV 89144-4318
Phone
(702) 531-4004
NPI assigned
Jun 10, 2006
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036109247 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 1185 NV Primary

Addresses

Primary practice location

204 Luxaire CT
Las Vegas, NV 89144-4318

Mailing address

204 Luxaire CT
Las Vegas, NV 89144-4318
Phone (702) 531-4004

Other names 1

  • Dr. Albert Khavkin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000853 NV Practitioner - AnesthesiologyPractitioner - Pain Management 2567422330 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians
PBS Anesthesia LLCGroup PAC ID 7911090204, 42 clinicians

Practice addresses (Care Compare)

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651

7250 Peak Dr
Suite 100
Las Vegas, NV 89128-9028
Phone (702) 386-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036109247ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C Specialist CurrentSince Oct 1, 2022 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Oct 1, 2022 Accepting new patients
Red Rock Anesthesia Consultants LLC CurrentSince Aug 15, 2020 Accepting new patients
Nevada Anesthesia Consultants LLP CurrentSince Feb 18, 2010 Accepting new patients
Khavkin Clinic PLLC Pain Medicine CurrentSince Dec 1, 2014 Accepting new patients
PBS Anesthesia LLC Pain Medicine CurrentSince Apr 1, 2022 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 27, 2017 Accepting new patients
Gephardt Anesthesia Specialists of Las Vegas PLLC PastSince Apr 1, 2022 Accepting new patients

Locations

2501 N Green Valley Pkwy
Ste 112
Henderson, NV 89014
Phone (702) 873-4567

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

10105 Banburry Cross Dr
Ste 460
Las Vegas, NV 89144
Phone (702) 691-9160

2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660

3157 N Rainbow Blvd
Las Vegas, NV 89108

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

5380 S Rainbow Blvd
Ste 306
Las Vegas, NV 89118
Phone (702) 362-9930

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

653 N Town Center Dr
Ste 602
Las Vegas, NV 89144
Phone (702) 888-1188

7250 Peak Dr
Ste 100
Las Vegas, NV 89128
Phone (702) 245-5960

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1871534578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LUXAIRE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444318",
            "telephone_number": "702-531-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LUXAIRE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444318",
            "telephone_number": "702-531-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVKIN",
        "first_name": "ALBERT",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036109247",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "1185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBERT",
            "last_name": "KHAVKIN",
            "prefix": "DR.",
            "credential": "D.O",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.