TruCare Medical Inc – Family Medicine Physician, NPI 1629079884

TruCare Medical Inc is a healthcare provider. based in N las vegas, Nevada. specializing in Family Medicine Physician. The organization holds a License No. 9413 (NV). The NPI Number for TruCare Medical Inc is 1629079884

Main info

Organization
Name
TruCare Medical Inc
NPI
1629079884
Phone
(702) 657-6365
Address
2290 MCDANIEL ST STE 2A
Authorized Official
VALANDO STERLING OFFICE MANAGER
Enumeration Date
9 August 2005
Last Update Date
24 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for TruCare Medical Inc

  • 2290 MCDANIEL ST STE 2A

    N LAS VEGAS, NV 890306330

    Phone: (702) 657-6365

    Fax: (702) 657-6704

    Type: Mailing

  • 1721 E CHARLESTON BLVD FL 3

    LAS VEGAS, NV 891041902

    Phone: (702) 685-0620

    Fax: (702) 685-9674

    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: 2004-07-07

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
O20040707001128OClinic/Group 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89030)

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Reviews

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Frequently asked questions

What is the registry number for TruCare Medical Inc?
The registry entry for TruCare Medical Inc shows NPI 1629079884.
Should I treat TruCare Medical Inc as an active provider?
Patients and plans typically see TruCare Medical Inc as active in the national extract.
What type of care does TruCare Medical Inc provide?
TruCare Medical Inc's profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TruCare Medical Inc?
TruCare Medical Inc is associated with N Las Vegas, Nevada in the same public data insurers reference.
Can I export TruCare Medical Inc's record?
You can download the official NPPES record; we summarize key fields for readability.

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