Radical Elevation
NPI 1164097556 · Community/Behavioral Health Agency · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Radical Elevation is a Community/Behavioral Health Agency organization in Las Vegas, NV (NPI 1164097556).
Provider details
- NPI number
- 1164097556
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Brian Harge, Owner(702) 423-2703
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-26
- Last updated
- 2024-09-23
- Certified
- 2024-09-23
Frequently asked questions
- What is Radical Elevation's NPI number?
- Radical Elevation's National Provider Identifier (NPI) is 1164097556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radical Elevation?
- Radical Elevation is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Radical Elevation located?
- Radical Elevation's practice location on file with NPPES is 3551 E Bonanza Rd Ste 101, Las Vegas, NV 89110-2198.
- What is Radical Elevation's phone number?
- The practice phone number listed in the NPPES registry for Radical Elevation is (702) 482-7441.
- Does Radical Elevation accept Medicare?
- Radical Elevation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Radical Elevation?
- The authorized official listed on Radical Elevation's NPPES record is Brian Harge, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radical Elevation's NPI active?
- Yes — Radical Elevation's NPI (1164097556) is active in the NPPES registry as of the last update on 2024-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.