Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alis Sergeevna-Sokolova Roose, DO

Individual provider Pediatrics Physician · NPI 1134757990

Alis Sergeevna-Sokolova Roose, DO is a Pediatric Medicine in Henderson, Nevada. Qualified in 2020, 6 years ago. Licensed in Nevada.

Years since qualifying
6
Licensed in
NV
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

98 E Lake Mead Pkwy Ste 103
Henderson, NV 89015-6443
Phone: (702) 868-0327
Fax: (702) 868-0290
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence DO3473 (NV)

Record details

NPI number1134757990
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Henderson