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

Dr. Shemrock Octavio Cordova, MD

Individual provider Family Medicine Physician · NPI 1689647190

Dr. Shemrock Octavio Cordova, MD is registered under Family Practice in Las Vegas, Nevada. Qualified in 1983, 43 years ago. Practices with University Medical Center of Southern Nevada, a 388-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
43
Licensed in
NV
In the registry since
2006
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

4760 Blue Diamond Rd Ste 110
Las Vegas, NV 89139-7665
Phone: (702) 383-2300
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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 10709 (NV)

Record details

NPI number1689647190
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice University Medical Center Of Southern Nevada — 388 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients85
Services billed 208 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at University Medical Center of Southern Nevada

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 388 clinicians in the practice; 12 are shown here.

Other providers in Las Vegas