BERALDO A VAZQUEZ CORREA (MD) – Internal Medicine Physician, NPI 1417901901

BERALDO A VAZQUEZ CORREA (MD) is a healthcare provider. based in Henderson, Nevada. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 5720 (NV). The NPI Number for BERALDO A VAZQUEZ CORREA (MD) is 1417901901

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
BERALDO A VAZQUEZ CORREA (MD)
NPI
1417901901
Phone
(702) 374-6949
Address
2764 N GREEN VALLEY PKWY # 376
Enumeration Date
20 May 2006
Last Update Date
19 January 2023

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
7759022777
Graduation Year
1985 (41 years ago)
PAC ID
3072552819
Group Practice PAC ID
7517407844
Professional Enrollment ID
I20050429000936
Address ID
NV890485877PA2280XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,575 INTERNAL MEDICINE in NV

Provider Addresses for BERALDO A VAZQUEZ CORREA (MD)

  • 2764 N GREEN VALLEY PKWY # 376

    HENDERSON, NV 890142120

    Phone: (702) 374-6949

    Fax: (702) 616-0657

    Type: Mailing

  • 9975 S EASTERN AVE STE 110

    LAS VEGAS, NV 891837950

    Phone: (702) 492-7208

    Fax: (702) 616-0657

    Type: Location

  • 825 S MAIN STREET

    #B393

    TONOPAH, NV 89049

    Phone: (775) 382-2000

    Fax: (775) 319-4130

    Type: Location

  • Exotica Skin Care, 2480, West Horizon Ridge Parkway, Green Valley Ranch, Henderson, Clark County, Nevada, 89052, United States

    HENDERSON, NV 89052

    Phone: (702) 492-7208

    Fax: (702) 616-0657

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050429000936IInternal MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3024$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional1111$0
View full utilization report →

Insurance plans in this area (ZIP 89014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517407844View full group profile
NameSpecialtyState
Nurse PractitionerNV
C H I R O P R A C T I CNV

Reviews

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Frequently asked questions

Does BERALDO A VAZQUEZ CORREA (MD) have a public NPI I can cite?
Public records show BERALDO A VAZQUEZ CORREA (MD) under NPI 1417901901.
Is BERALDO A VAZQUEZ CORREA (MD) currently accepting referrals based on NPI status?
Registry metadata lists BERALDO A VAZQUEZ CORREA (MD) as active.
What does the directory say BERALDO A VAZQUEZ CORREA (MD) does?
Insurance directories may phrase it differently, but here BERALDO A VAZQUEZ CORREA (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to BERALDO A VAZQUEZ CORREA (MD)?
The directory associates BERALDO A VAZQUEZ CORREA (MD) with Henderson, Nevada. Check all listed addresses for suites or satellite offices.
Why is information missing for BERALDO A VAZQUEZ CORREA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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