Edicine Im PLLC
NPI 1205520376 · Internal Medicine Physician · Las Vegas, NV
Edicine Im PLLC is a Internal Medicine Physician organization in Las Vegas, NV (NPI 1205520376).
Provider details
- NPI number
- 1205520376
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Carson, Billing Manager(480) 626-1415
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-06-02
- Last updated
- 2023-06-02
- Certified
- 2023-06-02
Frequently asked questions
- What is Edicine Im PLLC's NPI number?
- Edicine Im PLLC's National Provider Identifier (NPI) is 1205520376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edicine Im PLLC?
- Edicine Im PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Edicine Im PLLC located?
- Edicine Im PLLC's practice location on file with NPPES is 4270 S Decatur Blvd Ste A1, Las Vegas, NV 89103-6801.
- What is Edicine Im PLLC's phone number?
- The practice phone number listed in the NPPES registry for Edicine Im PLLC is (702) 423-9566.
- Who is the authorized official for Edicine Im PLLC?
- The authorized official listed on Edicine Im PLLC's NPPES record is Michael Carson, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edicine Im PLLC's NPI active?
- Yes — Edicine Im PLLC's NPI (1205520376) is active in the NPPES registry as of the last update on 2023-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.