NPIMap

Organization Active NPI

Pokroy Medical Group of Nevada, LTD.

Doing business as Pediatrix Medical Group of Nevada

  • Neonatal-Perinatal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1992809412
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
POKROY MEDICAL GROUP OF NEVADA, LTD.
Doing business as
Pediatrix Medical Group of Nevada
Practice address
653 N Town Center Dr Ste 112
Las Vegas, NV 89144-0515
Phone
(702) 733-0981
Fax
(027) 339-7517
NPI assigned
Sep 13, 2006
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Dr. Oscar Ingaramo, MDNPI 1740426469
Title
Director
Phone
(954) 384-0175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Neonatal Nurse Practitioner 363LN0000X NU
Pediatric Nurse Practitioner 363LP0200X NU
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X NU
Pediatrics Physician 208000000X NU
Neonatal-Perinatal Medicine Physician 2080N0001X NU Primary
Pediatric Critical Care Medicine Physician 2080P0203X NU
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

653 N Town Center Dr Ste 112
Las Vegas, NV 89144-0515

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843
Phone (800) 243-3839

Other identifiers 2

IdentifierTypeStateIssuer
MPG0260MedicaidAK
80642400MedicaidID

Other names 1

  • Pediatrix Medical Group of Nevada Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100607000694 NV Part B Supplier - Clinic/Group Practice 7911037643 Receives reassigned benefits from 155 practitioners
Practice locations: Las Vegas, NV; Reno, NV; Henderson, NV

National Provider Directory

National Provider Directory

Locations

1500 Concord Ter
Sunrise, FL 33323
Phone (954) 232-8058

2779 W Horizon Ridge Pkwy
Ste 230
Henderson, NV 89052

653 N Town Center Dr
Ste 112
Las Vegas, NV 89144
Phone (702) 733-0981

1155 Mill St
Bldg 55
Reno, NV 89502

1155 Mill St
Fl 2
Reno, NV 89502
Phone (702) 697-5234

235 W 6th St
#2401
Reno, NV 89503
Phone (775) 770-6550

Practitioners & affiliated clinicians

Practitioners 188

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 188

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1992809412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839",
            "fax_number": "844-686-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440515",
            "telephone_number": "702-733-0981",
            "fax_number": "027-339-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POKROY MEDICAL GROUP OF NEVADA, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "INGARAMO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-384-0175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MPG0260",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80642400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrix Medical Group of Nevada",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatrix Medical Group of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 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.