OrganizationActive
Kevin D Fradkin, MD, PLLC
NPI 1609039635 · Surgery Physician · Las Vegas, NV
Kevin D Fradkin, MD, PLLC is a Surgery Physician organization in Las Vegas, NV (NPI 1609039635).
Provider details
- NPI number
- 1609039635
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Fradkin, Managing Member(702) 836-3636
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
9811 W Charleston Blvd # 2-366
Las Vegas, NV 89117-7528
Phone: (702) 836-3636
Fax: (702) 946-0836
Street-level locationGet directions
Mailing address
9811 W Charleston Blvd # 2-366
Las Vegas, NV 89117-7528
Other names (DBA / former)
- Doing business as
- Nevada Endosurgery
Registry dates
- Enumerated
- 2008-07-09
- Last updated
- 2011-05-07
Frequently asked questions
- What is Kevin D Fradkin, MD, PLLC's NPI number?
- Kevin D Fradkin, MD, PLLC's National Provider Identifier (NPI) is 1609039635, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kevin D Fradkin, MD, PLLC?
- Kevin D Fradkin, MD, PLLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin D Fradkin, MD, PLLC located?
- Kevin D Fradkin, MD, PLLC's practice location on file with NPPES is 9811 W Charleston Blvd # 2-366, Las Vegas, NV 89117-7528.
- What is Kevin D Fradkin, MD, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kevin D Fradkin, MD, PLLC is (702) 836-3636.
- Who is the authorized official for Kevin D Fradkin, MD, PLLC?
- The authorized official listed on Kevin D Fradkin, MD, PLLC's NPPES record is Kevin Fradkin, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kevin D Fradkin, MD, PLLC's NPI active?
- Yes — Kevin D Fradkin, MD, PLLC's NPI (1609039635) is active in the NPPES registry as of the last update on 2011-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.