Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

THERESA M VERGARA M.D.
NPI 1780677690
Pediatrics - Pediatric Critical Care Medicine in Las Vegas, NV

Q: What is Theresa Vergara's NPI number?

The NPI number for Theresa Vergara is 1780677690. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Q: What is Theresa Vergara's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Vergara was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 25, 2005PECOS Enrolled

3186 S MARYLAND PKWY, LAS VEGAS, NV 89109(888) 350-2911(702) 369-5827 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

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About Theresa M Vergara M.d. NPPES

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

THERESA M VERGARA M.D. (NPI 1780677690) is an individual pediatric critical care medicine provider in Las Vegas, Nevada, licensed in Nevada (9171) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780677690

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameTHERESA M VERGARACredential: M.D.

Location Address3186 S MARYLAND PKWYLas Vegas, NV 89109-2317

Mailing Address3006 S Maryland Pkwy, 505Las Vegas, NV 89109-2218 · (702) 697-0082 · Fax (702) 369-5827

Phone(888) 350-2911

Fax(702) 369-5827

Sole ProprietorNo

Enumeration DateAugust 25, 2005

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1780677690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NV · 9171

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 9171 (NV)

3186 S MARYLAND PKWY, Las Vegas, NV 89109

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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)

Theresa M Vergara M.d. 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.

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