Organization Active NPI

Gary Skankey, MD, PC

  • Infectious Disease Physician
  • Las Vegas, NV
National Provider Identifier
1992231500
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
GARY SKANKEY, MD, PC
Practice address
7200 Cathedral Rock Dr Ste 200
Las Vegas, NV 89128-0430
Phone
(702) 723-4124
Fax
(702) 867-0066
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Carla Revilla
Title
Manager
Phone
(719) 229-3849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

7200 Cathedral Rock Dr Ste 200
Las Vegas, NV 89128-0430

Mailing address

7200 Cathedral Rock Dr Ste 200
Las Vegas, NV 89128-0430
Phone (702) 723-4124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180305000889 NV Part B Supplier - Clinic/Group Practice 0244591436 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV; Henderson, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1992231500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CATHEDRAL ROCK DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280430",
            "telephone_number": "702-723-4124",
            "fax_number": "702-867-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CATHEDRAL ROCK DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280430",
            "telephone_number": "702-723-4124",
            "fax_number": "702-867-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY SKANKEY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "REVILLA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-229-3849"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.