DR. NICHOLAS CIURCZAK DO
NPI 1033841176
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Q: What is Nicholas Ciurczak's NPI number?

The NPI number for Nicholas Ciurczak is 1033841176. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Q: What is Nicholas Ciurczak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Ciurczak was last updated on March 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 28, 2022PECOS Enrolled

620 SHADOW LN, LAS VEGAS, NV 89106(702) 388-4000 Get Directions Write a Review

NPPES record last updated: March 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Nicholas Ciurczak Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS CIURCZAK DO (NPI 1033841176) is an individual student in an organized health care education/training program in Las Vegas, Nevada, licensed in Nevada (SL1888) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033841176

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. NICHOLAS CIURCZAKCredential: DO

Location Address620 SHADOW LNLas Vegas, NV 89106-4119

Mailing Address2426 Antler Point DrHenderson, NV 89074-6256

Phone(702) 388-4000

Sole ProprietorNo

Enumeration DateJune 28, 2022

Last NPPES UpdateMarch 30, 2025

NPPES CertifiedMarch 30, 2025

✔ NPI 1033841176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NV · SL1888

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal MedicineTaxonomy 207R00000X · License DO3840 (NV)

620 SHADOW LN, Las Vegas, NV 89106

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Ciurczak Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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