Individual provider Active NPI

Rick V Bernstein, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Las Vegas, NV
National Provider Identifier
1932182029
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
10435 Issued in NV
Practice address
4275 Burnham Ave Ste 102
Las Vegas, NV 89119-5495
Phone
(702) 878-8346
Fax
(705) 259-0205
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301116731 MI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 10435 NV Primary

Addresses

Primary practice location

4275 Burnham Ave Ste 102
Las Vegas, NV 89119-5495

Mailing address

1525 E Beltline Ave NE Ste 101
Grand Rapids, MI 49525-4598
Phone (616) 447-8220

Other practice location 1

1525 E Beltline Ave NE Ste 101
Grand Rapids, MI 49525-4598
Phone (616) 447-8220

Other practice location 2

3370 E Jolly Rd
Lansing, MI 48910-8552
Phone (517) 445-5900

Other identifiers 1

IdentifierTypeStateIssuer
100500467MedicaidNV

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
I20031212000899 NV Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 5890692479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
Howard University College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acv Nevada Bernstein PLLCGroup PAC ID 6800227646, 4 clinicians

Practice addresses (Care Compare)

4275 Burnham Ave
Suite 102
Las Vegas, NV 89119-5495
Phone (702) 878-8346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal16
Leg revascularization (restoring blood flow)98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acv Nevada Bernstein PLLC CurrentSince May 1, 2020 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Paracelsus Healthcare Corp Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Larry F Cohler MD LTD Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Sweet Dreams Anesthesia Inc PastSince Nov 1, 2019 Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

1525 E Beltline Ave NE
Ste 101
Grand Rapids, MI 49525
Phone (616) 363-0055

4275 Burnham Ave
Ste 102
Las Vegas, NV 89119
Phone (702) 878-8346

4275 Burnham Ave
Las Vegas, NV 89119
Phone (702) 331-9220

2031 McDaniel St
Ste 170
North Las Vegas, NV 89030
Phone (702) 506-3139

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1932182029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-447-8220",
            "fax_number": "616-710-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195495",
            "telephone_number": "702-878-8346",
            "fax_number": "705-259-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 E Beltline Ave NE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495254598",
            "country_code": "US",
            "telephone_number": "616-447-8220",
            "fax_number": "616-710-4048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3370 E Jolly Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489108552",
            "country_code": "US",
            "telephone_number": "517-445-5900",
            "fax_number": "616-710-4048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "RICK",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301116731",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NV",
            "license": "10435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500467",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.