Individual provider Active NPI

Boris Lokshin, M.D.

  • Allergy Physician
  • Sparks, NV
National Provider Identifier
1972597367
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
7585 Issued in NV
Practice address
2135 Green Vista Dr
Suite 109
Sparks, NV 89431-8544
Phone
(775) 359-5010
Fax
(775) 359-5076
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 7585 NV Primary

Addresses

Primary practice location

2135 Green Vista Dr
Suite 109
Sparks, NV 89431-8544

Mailing address

2135 Green Vista Dr
Suite 109
Sparks, NV 89431-8544
Phone (775) 359-5010

Other identifiers 1

IdentifierTypeStateIssuer
0016805MedicaidNV

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
I20060803000137 NV Practitioner - Allergy/Immunology 5799798021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rothstein and Shapiro MDS LTDGroup PAC ID 5092791962, 2 clinicians

Practice addresses (Care Compare)

2135 Green Vista Dr
Suite 109
Sparks, NV 89431-8514
Phone (775) 359-5010

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7585NVMDAllergy Physician

Organizations & group practices 1

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972597367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 GREEN VISTA DR",
            "address_2": "SUITE 109",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318544",
            "telephone_number": "775-359-5010",
            "fax_number": "775-359-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 GREEN VISTA DR",
            "address_2": "SUITE 109",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318544",
            "telephone_number": "775-359-5010",
            "fax_number": "775-359-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOKSHIN",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NV",
            "license": "7585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016805",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.