Individual provider Active NPI

Henry James Vanvleet, P.A.

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1932228251
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
579 Issued in NV
Practice address
7190 S Cimarron Rd
Las Vegas, NV 89113-2171
Phone
(702) 675-3240
Fax
(702) 982-6347
NPI assigned
Mar 28, 2007
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 31566 NV
Physician Assistant 363A00000X 579 NV Primary

Addresses

Primary practice location

7190 S Cimarron Rd
Las Vegas, NV 89113-2171

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130521000415 NV Practitioner - Physician Assistant 1850420001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
63.87
Promoting interoperability
96
Improvement activities
40
Cost
76.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
579NVMDGeneral Practice Dentistry
31566NVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health CurrentSince Sep 20, 2021 Accepting new patients
Dignity Health CurrentSince Sep 20, 2021 Accepting new patients
Cardiovascular Surgery Associates PastSince Oct 1, 2010 Accepting new patients

Locations

10001 S Eastern Ave
Ste 203
Henderson, NV 89052
Phone (702) 616-5915

7190 S Cimarron Rd
Las Vegas, NV 89113
Phone (702) 675-3240

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, 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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1932228251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 S CIMARRON RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132171",
            "telephone_number": "702-675-3240",
            "fax_number": "702-982-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVLEET",
        "first_name": "HENRY",
        "middle_name": "JAMES",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "31566",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.