Kozmary Center for Pain Management – Multi-Specialty Clinic/Center, NPI 1063579803
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Kozmary Center for Pain Management
El Camino Avenue, Las Vegas, Clark County, Nevada, 89102-6007, United States
LAS VEGAS, NV 891024266
Phone: (702) 380-3210
Fax: (702) 380-3212
Type: Mailing
2851, El Camino Avenue, Las Vegas, Clark County, Nevada, 89102, United States
STE 101
LAS VEGAS, NV 89102
Phone: (702) 380-3210
Fax: (702) 380-3212
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: 2022-10-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (770 days ago).
Enrollment records
3
Earliest due date
2024-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080923000499 | O | Clinic/Group Practice | NV | TBD |
| O20130220000163 | O | Physician - General Practice | NV | 2024-04-30 |
| O20221027001544 | O | Clinic/Group Practice | AZ | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89102)
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