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DAVID VANSOMPHONE MD LTD
NPI 1750598165
Internal Medicine in Las Vegas, NV

Active since May 16, 2007
5375 S FORT APACHE RD, SUITE 101, LAS VEGAS, NV 89148(702) 597-1597 Get Directions Write a Review

NPPES record last updated: May 17, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David Vansomphone Md Ltd NPPES

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

DAVID VANSOMPHONE MD LTD (NPI 1750598165) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since May 2007. The organization lists Lori Labrecque, Accts. Mgr, as its authorized official.

NPPES Registry Identity

NPI1750598165
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDAVID VANSOMPHONE MD LTD
Location Address5375 S FORT APACHE RD, SUITE 101Las Vegas, NV 89148-7623
Mailing AddressPo Box 35984Las Vegas, NV 89133-5984 · (702) 597-1597
Phone(702) 597-1597
Organization SubpartNo
Authorized OfficialLori LabrecqueAccts. Mgr · (702) 453-3799
Enumeration DateMay 16, 2007
Last NPPES UpdateMay 17, 2010
✔ NPI 1750598165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · 9448
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5375 S FORT APACHE RD, Las Vegas, NV 89148
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Other Identifiers 2

Medicare PINV40594NV
Medicare UPINH25909NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Vansomphone Md Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 3

Next revalidation due by December 31, 2026

This provider holds 3 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20110518000139Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
StateNevadaEnrollment IDO20110419000752Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
StateWashingtonEnrollment IDO20130108000040Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David Vansomphone MD Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Boungkhong Vansomphone, M.D.
Internal Medicine
NPI 1457451262
5375 S FORT APACHE RD STE# 101
Las Vegas, NV 89148
(702) 597-1597
✔ PECOS✔ Accepts Medicare0.1 mi

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Vansomphone MD Ltd's NPI number?

The NPI number for David Vansomphone MD Ltd is 1750598165. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is David Vansomphone MD Ltd located?

David Vansomphone MD Ltd is located at 5375 S Fort Apache Rd Suite 101, Las Vegas, NV 89148. The listed phone number is (702) 597-1597.

What is David Vansomphone MD Ltd's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Vansomphone MD Ltd enrolled in Medicare?

Yes. David Vansomphone MD Ltd is registered in the Medicare PECOS enrollment system.

When is David Vansomphone MD Ltd's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), David Vansomphone MD Ltd holds 3 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through David Vansomphone MD Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to David Vansomphone MD Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David Vansomphone MD Ltd was last updated on May 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.