Individual provider Active NPI

Nina Stefanova, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1992955769
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15725 Issued in NV
Practice address
2850 S Jones Blvd Ste 1
Las Vegas, NV 89146-5640
Phone
(702) 910-2800
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 15725 NV
Family Medicine Physician 207Q00000X 15725 NV Primary

Addresses

Primary practice location

2850 S Jones Blvd Ste 1
Las Vegas, NV 89146-5640

Mailing address

2850 S Jones Blvd Ste 1
Las Vegas, NV 89146-5640
Phone (702) 910-2800

Other practice location 1

Sunrise Hospital
3186 S. Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8211

Other identifiers 1

IdentifierTypeStateIssuer
15725OtherNVNV MEDICAL LICENSE

Other names 1

  • Nina Stefanova Other name

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
I20150918002249 NV Practitioner - Family Practice 2062650120 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Acute Medical Services-Scherr 1 PCGroup PAC ID 6103101738, 68 clinicians
Eid Nevada Critical Care PLLCGroup PAC ID 9537357793, 62 clinicians

Practice addresses (Care Compare)

2850 S Jones Blvd
Suite 1
Las Vegas, NV 89146-5640
Phone (702) 910-2800

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8000

Hospital & facility affiliations

  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15725NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red Rock Hospitalist Group P.C. Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Eid Nevada Critical Care PLLC CurrentSince Sep 5, 2018 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC Hospitalist CurrentSince Apr 1, 2017 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Infectious Disease Consultant of Southern Nevada Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1801 W Olympic Blvd
#1270
Pasadena, CA 91199

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

3277 E Warm Springs Rd
Ste 200
Las Vegas, NV 89120
Phone (702) 224-2525

4015 McLeod Dr
Las Vegas, NV 89121
Phone (702) 433-2200

4811 W Desert Inn Rd
Ste B
Las Vegas, NV 89102
Phone (702) 910-2800

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

6040 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 475-4007

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

2850 S Jones Blvd
Ste 1
Las Vegas, NV 89146
Phone (702) 910-2800

Organizations & group practices 10

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 1

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1992955769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 S JONES BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465640",
            "telephone_number": "702-910-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S JONES BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465640",
            "telephone_number": "702-910-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "SUNRISE HOSPITAL",
            "address_2": "3186 S. MARYLAND PKWY",
            "address_purpose": "LOCATION",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092317",
            "country_code": "US",
            "telephone_number": "702-731-8211",
            "fax_number": "702-492-1728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFANOVA",
        "first_name": "NINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "15725",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "15725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MEDICAL LICENSE",
            "identifier": "15725",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "STEFANOVA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.