TODD A RADIVAN (PA-C) – Medical Physician Assistant, NPI 1497757181

TODD A RADIVAN (PA-C) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-C57 (NV). The NPI Number for TODD A RADIVAN (PA-C) is 1497757181

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
TODD A RADIVAN (PA-C)
NPI
1497757181
Phone
(702) 877-8600
Address
888 S RANCHO DR
Enumeration Date
11 August 2005
Last Update Date
27 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7257052739
Graduation Year
1994 (32 years ago)
PAC ID
5698711232
Group Practice PAC ID
9830439330
Professional Enrollment ID
I20050705000678
Address ID
NV891197825LA4472XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

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Provider Addresses for TODD A RADIVAN (PA-C)

  • 888, South Rancho Drive, Las Vegas, Clark County, Nevada, 89106, United States

    LAS VEGAS, NV 891063810

    Phone: (702) 877-8600

    Type: Location

  • PO BOX 15645

    LAS VEGAS, NV 891145645

    Phone: (702) 877-8600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $291.

Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($113).

Total Amount

$291

General + Research + Ownership

Payments

8

Total payment records

General Amount

$291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-07-05

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
I20050705000678IPhysician AssistantNVTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes366126$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes258108$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9186$0
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes2727$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 89106)

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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: 9830439330View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineNV
Nurse PractitionerNV
Physician AssistantNV
Nurse PractitionerNV
Nurse PractitionerNV
Infectious DiseaseNV
Internal Medicine, Infectious DiseaseNV
Infectious Disease, HospitalistNV
Infectious DiseaseNY
Physician AssistantNV

Reviews

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Frequently asked questions

What unique ID ties claims to TODD A RADIVAN (PA-C)?
NPI 1497757181 is assigned to TODD A RADIVAN (PA-C) under the national enumeration system.
Is TODD A RADIVAN (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is TODD A RADIVAN (PA-C)?
The page reflects Medical Physician Assistant for TODD A RADIVAN (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for TODD A RADIVAN (PA-C)?
The page summarizes Las Vegas, Nevada for TODD A RADIVAN (PA-C); expand the address list for detail.
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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