MEDICARE: CARLEVATO MEDICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician

General Provider Information

NPI Number	:	1558040840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLEVATO MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	2102 IDAHO ST
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-2625
Country	:	US
Telephone Number	:	775-389-5777
Fax Number	:

Provider Business Practice Location Address
First Line	:	2098 IDAHO ST
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-2627
Country	:	US
Telephone Number	:	775-340-9600
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	NICHOLAS JOHN CARLEVATO
Credential	:
Telephone Number	:	775-315-2902

Provider Enumeration Date	:	07/13/2023
Last Update Date	:	03/22/2026

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Directions to “CARLEVATO MEDICAL SERVICES ” Practice Location

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