Individual provider Active NPI

Ada Iris Vera, D.P.M.

  • Podiatrist
  • Las Vegas, NV
National Provider Identifier
1902942725
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0016 Issued in NV
Practice address
3000 W Charleston Blvd Ste 6
Las Vegas, NV 89102-1940
Phone
(702) 878-5252
Fax
(702) 878-1963
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0016 NV Primary

Addresses

Primary practice location

3000 W Charleston Blvd Ste 6
Las Vegas, NV 89102-1940

Mailing address

PO Box 33250
Las Vegas, NV 89133-3250
Phone (702) 878-5252

Other identifiers 1

IdentifierTypeStateIssuer
1902942725MedicaidNV

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000439 NV Practitioner - Podiatry 7911931191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ada I Vera DPM LTDGroup PAC ID 1456339597, 2 clinicians

Practice addresses (Care Compare)

3000 W Charleston Blvd
Suite 6
Las Vegas, NV 89102-1940
Phone (702) 878-5252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue314
Removal of nail tissue699
Removal or shaving of skin growth705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0016NVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ada I Vera DPM LTD Podiatrist CurrentSince Apr 1, 2005 Accepting new patients
Ada I Vera DPM LTD CurrentSince Jun 12, 2022 Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3000 W Charleston Blvd
Ste 6
Las Vegas, NV 89102
Phone (702) 878-5252

Interoperability endpoints

  • Direct secure messaging: ada.vera@aivdl-nv.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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 4

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1902942725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891333250",
            "telephone_number": "702-878-5252",
            "fax_number": "702-878-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W CHARLESTON BLVD STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021940",
            "telephone_number": "702-878-5252",
            "fax_number": "702-878-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "ADA",
        "middle_name": "IRIS",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "0016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902942725",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.