LAS VEGAS VASCULAR & INTERVENTIONAL SPECIALISTS, LLC – Vascular & Interventional Radiology Physician, NPI 1508210972
Vascular & Interventional Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LAS VEGAS VASCULAR & INTERVENTIONAL SPECIALISTS, LLC
PO BOX 36830
LAS VEGAS, NV 891336830
Phone: (702) 389-5360
Fax: (702) 570-1403
Type: Mailing
8930 W SUNSET RD STE 350
LAS VEGAS, NV 891485042
Phone: (702) 389-5360
Fax: (702) 570-1403
Type: Location
1905 MCDANIEL ST
STE 106
NORTH LAS VEGAS, NV 890307169
Phone: (702) 487-7055
Fax: (702) 991-7258
Type: Mailing
West Sunset Road, Paradise, Clark County, Nevada, 89118, United States
LAS VEGAS, NV 891484903
Phone: (702) 487-7055
Fax: (702) 991-7258
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: 2021-04-05
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (807 days ago).
Enrollment records
3
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| O20160606002173 | O | Clinic/Group Practice | NV | 2024-03-31 |
| O20180611001282 | O | Physician - General Practice | NV | 2025-10-31 |
| O20210405002435 | O | Clinic/Group Practice | HI | 2026-06-30 |
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 89133)
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