SCARLETT M CAVALLI DANESHVAR (M.D) – Family Medicine Physician, NPI 1992236145

SCARLETT M CAVALLI DANESHVAR (M.D) is a healthcare provider. based in Las vegas, Nevada. specializing in FAMILY PRACTICE. They hold the professional credentials M.D. They hold a License No. 20078 (NV). The NPI Number for SCARLETT M CAVALLI DANESHVAR (M.D) is 1992236145

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SCARLETT M CAVALLI DANESHVAR (M.D)
NPI
1992236145
Phone
(702) 877-5199
Address
4475 S EASTERN AVE
Enumeration Date
21 March 2017
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023801712
Graduation Year
2016 (10 years ago)
PAC ID
8224302914
Group Practice PAC ID
1052452422
Professional Enrollment ID
I20200903002587
Address ID
NV890323213NO4060XBLVD601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

992 FAMILY PRACTICE in NV

Provider Addresses for SCARLETT M CAVALLI DANESHVAR (M.D)

  • 4475 S EASTERN AVE

    LAS VEGAS, NV 891197826

    Phone: (702) 877-5199

    Type: Location

  • McCarran International Airport, 5757, Wayne Newton Boulevard, Enterprise, Clark County, Nevada, 89154, United States

    LAS VEGAS, NV 891335380

    Phone: (702) 877-5199

    Type: Mailing

  • 1765 VILLAGE CENTER CIR STE 100

    LAS VEGAS, NV 891346303

    Phone: (702) 380-1712

    Fax: (877) 361-1165

    Type: Location

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: 2020-09-03

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
I20200903002587IFamily PracticeNVTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7747$0
99213Established patient office or other outpatient visit, 20-29 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 89119)

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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: 1052452422View full group profile
NameSpecialtyState
Family PracticeTX
-NV

Reviews

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Frequently asked questions

Can I use this page to confirm SCARLETT M CAVALLI DANESHVAR (M.D)'s NPI?
Yes. SCARLETT M CAVALLI DANESHVAR (M.D) is listed with NPI 1992236145 in the public NPI dataset.
Is SCARLETT M CAVALLI DANESHVAR (M.D) listed as active for patients and plans?
The listing shows SCARLETT M CAVALLI DANESHVAR (M.D) as active in the NPI system.
What taxonomy line describes SCARLETT M CAVALLI DANESHVAR (M.D)?
For research purposes, treat SCARLETT M CAVALLI DANESHVAR (M.D) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SCARLETT M CAVALLI DANESHVAR (M.D) on a map?
Expect Las Vegas, Nevada as a primary anchor for SCARLETT M CAVALLI DANESHVAR (M.D) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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