Individual provider Active NPI

Kofi E Sarfo, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1881695609
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11205 Issued in NV
Practice address
2909 W Charleston Blvd
Las Vegas, NV 89102-1925
Phone
(702) 798-1233
Fax
(702) 531-1233
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11205 NV Primary

Addresses

Primary practice location

2909 W Charleston Blvd
Las Vegas, NV 89102-1925

Mailing address

PO Box 365404
N Las Vegas, NV 89036-9404
Phone (702) 798-1233

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
I20050217000134 NV Practitioner - Family PracticePractitioner - Internal Medicine 2365493483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2909 W Charleston Blvd
Las Vegas, NV 89102-1925
Phone (702) 657-3773

Hospital & facility affiliations

  • Peace of Mind Home Health Agency, LLC Home health agency, Las Vegas, NV, CCN 297325

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Medical Associates LLC Family Medicine CurrentSince Aug 1, 2005 Accepting new patients
Las Vegas NV Opco LLC Past Accepting new patients

Locations

2909 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 657-3773

1905 McDaniel St
Ste 105
North Las Vegas, NV 89030
Phone (702) 657-3773

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1881695609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365404",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890369404",
            "telephone_number": "702-798-1233",
            "fax_number": "702-531-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021925",
            "telephone_number": "702-798-1233",
            "fax_number": "702-531-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARFO",
        "first_name": "KOFI",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.