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

Andrei Androssov, MD

Individual provider Family Medicine Physician · NPI 1063610061

Andrei Androssov, MD is a Family Practice in Las Vegas, Nevada. Qualified in 1992, 34 years ago. Practices with Intermountain Medical Holdings Nevada Inc, a 308-clinician group and accepts Medicare assignment. Licensed in Florida and Nevada.

Years since qualifying
34
Licensed in
FL, NV
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5230 Boulder Hwy Ste 110
Las Vegas, NV 89122
Phone: (702) 940-1560
Fax: (702) 940-1561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 17795 (NV)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME121765 (FL)

Record details

NPI number1063610061
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2007
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022
Mailing address6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Intermountain Medical Holdings Nevada Inc — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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