DR. JAVIER ISMAEL GARDUNO M.D.
NPI 1720141120
Anesthesiology - Pain Medicine in Las Vegas, NV

Q: What is Javier Garduno's NPI number?

The NPI number for Javier Garduno is 1720141120. It was assigned to this individual provider in the NPPES registry on December 18, 2006. The provider is also known as Dr. Ismael Xavier Garduno MD.

Q: What is Javier Garduno's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: When was this NPI record last updated?

The NPPES record for Javier Garduno was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment

4750 W OAKEY BLVD STE 3A, LAS VEGAS, NV 89102(702) 877-5319(702) 259-0128 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Javier Ismael Garduno M.d. NPPES

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

DR. JAVIER ISMAEL GARDUNO M.D. (NPI 1720141120) is an individual pain medicine provider in Las Vegas, Nevada, licensed in Nevada (15440) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1720141120

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameDR. JAVIER ISMAEL GARDUNOCredential: M.D.

Location Address4750 W OAKEY BLVD STE 3ALas Vegas, NV 89102-1535

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199 · Fax (702) 259-0128

Phone(702) 877-5319

Fax(702) 259-0128

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateDecember 18, 2006

Last NPPES UpdateMarch 8, 2018

✔ NPI 1720141120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in NV · 15440

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

4750 W OAKEY BLVD STE 3A, Las Vegas, NV 89102

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Other Names 1

Other Name (5)Dr. Ismael Xavier Garduno Md

Secondary Practice Location 1

Location 12300 W Charleston Blvd, Ste 150Las Vegas, NV 89102-2149 · Phone (702) 877-5319 · Fax (702) 259-0128

Other Identifiers 1

Medicaid1720141120NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Javier Ismael Garduno M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638396856

PECOS Enrollment IDI20140812002557

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.

Medicare Billing Reassignments

Medicare enrollment records show Javier Garduno reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwest Medical Associates, Inc

1.8 mi

Internal Medicine

888 S RANCHO DR
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
406 clinicians in this Medicare group

NPI 1659346005 (702) 877-8600

Optum Medical Group II Rhodes P C

4.6 mi

Internal Medicine

2704 N TENAYA WAY
Las Vegas, NV 89128

Reassigned Medicare billing, Nevada enrollment
608 clinicians in this Medicare group

NPI 1790329407 (702) 877-5199

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

19 services11 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

17 services14 patients

Other Providers at the Same Location NPPES 7

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

NEIL A BRAUNSTEIN MD

Internal Medicine (Rheumatology)