Individual provider Active NPI

Bernardo Tisminezky, MD

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1952357717
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11435 Issued in NV
Practice address
1800 W. Charleston Blvd.
Las Vegas, NV 89102
Phone
(702) 383-2000
Fax
(702) 667-4689
NPI assigned
May 25, 2006
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11435 NV
Anesthesiology Physician 207L00000X 13391-320 WI
Anesthesiology Physician 207L00000X MD-54120 IA
Anesthesiology Physician 207L00000X 11435 NV Primary

Addresses

Primary practice location

1800 W. Charleston Blvd.
Las Vegas, NV 89102

Mailing address

1800 W. Charleston Blvd.
Las Vegas, NV 89102
Phone (702) 383-2000

Other identifiers 1

IdentifierTypeStateIssuer
100506878MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, GA, WA, IA, WI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20051005001081 NV Practitioner - Anesthesiology 0042235335 Reassigns benefits to 4 organizations
I20240117000526 GA Practitioner - Anesthesiology 0042235335
I20241107003672 WA Practitioner - Anesthesiology 0042235335 Reassigns benefits to 1 organization
I20250131002098 IA Practitioner - Anesthesiology 0042235335 Reassigns benefits to 1 organization
I20250612001895 WI Practitioner - Anesthesiology 0042235335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-54120IAMDAnesthesiology Physician
13391-320WIMDAnesthesiology Physician
11435NVMDMassage Therapist
13391WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Aug 4, 2025 Accepting new patients
Optum Medical Group Rhodes P C Specialist CurrentSince Dec 1, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Aug 4, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Current Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Dec 1, 2019 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jun 10, 2025 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Valley Anesthesiology Consultants-Beckett-PLLC Anesthesiology CurrentSince Aug 4, 2019 Accepting new patients
Oregon Anesthesiology Group PC Anesthesiology CurrentSince Oct 29, 2024 Accepting new patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jan 1, 2023 Accepting new patients
Kingman Healthcare, Inc Specialist CurrentSince May 1, 2023 Accepting new patients
Optum Medical Group Rhodes P C Anesthesiology CurrentSince May 29, 2015 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince May 29, 2015 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 10, 2025 Accepting new patients
Kingman Healthcare, Inc CurrentSince May 1, 2023 Accepting new patients
Sheridan Drozdow Healthcare of Nevada PC Anesthesiology Past Accepting new patients
John T Goodsell DO PC Gregory Linderer MD LTD Anesthesiology PastSince Nov 18, 2009 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Wellhealth Medical Group, PC Past Accepting new patients
Vanderbilt University Medical Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

10120 S Eastern Ave
Ste 200
Henderson, NV 89052
Phone (702) 487-6880

10120 S Eastern Ave
Ste 230
Henderson, NV 89052
Phone (702) 487-6880

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

10105 Banburry Cross Dr
Ste 460
Las Vegas, NV 89144
Phone (702) 691-9160

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660

2450 W Charleston Blvd
Ste 200
Las Vegas, NV 89102

2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

707 SW Washington St
Ste 700
Portland, OR 97205

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

Interoperability endpoints

  • Direct secure messaging: btisminezky1065055@direct.emplifyhealth.org
  • Direct secure messaging: btisminezky14364@direct.umcsn.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1952357717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W. CHARLESTON BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2000",
            "fax_number": "702-667-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W. CHARLESTON BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2000",
            "fax_number": "702-667-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISMINEZKY",
        "first_name": "BERNARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "11435",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "13391-320",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "MD-54120",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "11435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506878",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.