NPIMap

Individual provider Active NPI

Yevgeniy A Khavkin, M.D.

  • Neurological Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1922055128
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
13271 Issued in NV
Practice address
5380 S Rainbow Blvd Ste 306
Las Vegas, NV 89118-1880
Phone
(702) 888-1188
Fax
(702) 476-8995
NPI assigned
May 31, 2006
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 01066362A IN
Neurological Surgery Physician 207T00000X 13271 NV Primary
Neurological Surgery Physician 207T00000X D63005 MD

Addresses

Primary practice location

5380 S Rainbow Blvd Ste 306
Las Vegas, NV 89118-1880

Mailing address

5380 S Rainbow Blvd Ste 306
Las Vegas, NV 89118-1880
Phone (702) 888-1188

Other identifiers 2

IdentifierTypeStateIssuer
408196000MedicaidMD
408196000MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000266 NV Practitioner - Neurosurgery 2264463264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Chicago, Pritzker School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Khavkin Clinic, PLLCGroup PAC ID 7517111545, 2 clinicians

Practice addresses (Care Compare)

5380 S Rainbow Blvd
Suite 306
Las Vegas, NV 89118-1880
Phone (702) 888-1188

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
Spinal fusion15
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01066362AINMDNeurological Surgery Physician
D63005MDMDNeurological Surgery Physician
13271NVMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medlegal Teams Khavkin MD PLLC Neurological Surgery Current Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Johns Hopkins University Neurological Surgery Past Accepting new patients

Locations

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

Organizations & group practices 4

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.

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1922055128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181880",
            "telephone_number": "702-888-1188",
            "fax_number": "702-476-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181880",
            "telephone_number": "702-888-1188",
            "fax_number": "702-476-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVKIN",
        "first_name": "YEVGENIY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01066362A",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": "13271",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D63005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408196000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408196000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.