Physician Associates of Nevada Ltd
NPI 1417694019ActiveOrganization· Internal Medicine, Infectious Disease· Henderson, NV
Internal Medicine, Infectious Disease in Henderson, Nevada, registered in NPPES in May 2022. The authorized official on file is Todd Radivan, PA-C, Managing Director.
Overview
| NPI | 1417694019 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2022 |
| Last updated in NPPES | May 16, 2022 |
| Certified by provider | May 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | — | — |
| Physician Assistant, Medical | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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