SAFE HARBOR MEDICAL, INC.
NPI 1821290115
Family Medicine in Las Vegas, NV
About Safe Harbor Medical, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAFE HARBOR MEDICAL, INC. (NPI 1821290115), doing business as Safe Harbor Medical, is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since May 2007. The organization lists Tina A Alicea, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 9
Group Practice 1
Accepted Insurance
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)
Safe Harbor Medical, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Safe Harbor Medical, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (11)
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 Safe Harbor Medical, Inc.'s NPI number?
The NPI number for Safe Harbor Medical, Inc. is 1821290115. It was assigned to this organization in the NPPES registry on May 31, 2007. The provider is doing business as Safe Harbor Medical.
Where is Safe Harbor Medical, Inc. located?
Safe Harbor Medical, Inc. is located at 2901 N Tenaya Way Ste 100, Las Vegas, NV 89128. The listed phone number is (702) 870-8852.
What is Safe Harbor Medical, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Safe Harbor Medical, Inc. enrolled in Medicare?
Yes. Safe Harbor Medical, Inc. is registered in the Medicare PECOS enrollment system.
When is Safe Harbor Medical, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nevada, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Safe Harbor Medical, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Safe Harbor Medical, Inc.. 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. The largest specialties are Nurse Practitioner (6), Clinical Social Worker (2) and Internal Medicine (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Safe Harbor Medical, Inc. accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Safe Harbor Medical, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Safe Harbor Medical, Inc. was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Safe Harbor Medical, Inc. · NPI 1821290115
Family Medicine organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since May 31, 2007.
## Identity
- **NPI:** 1821290115 (Entity type: Organization)
- **Enumerated:** May 31, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** SAFE HARBOR MEDICAL (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Tina Alicea, CEO
## Practice location
- **Address:** 2901 N TENAYA WAY STE 100, Las Vegas, NV 89128-1404
- **Phone:** (702) 870-8852 · **Fax:** (702) 870-8914
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Nevada, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Clinical Social Worker (2), Internal Medicine (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2025
- **Other identifiers:** Medicaid 250007806 (NV); Medicaid 2019993 (NV); Other NPI (NV); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1821290115) · Data from the CMS NPPES public registry.