Douglas Glen Larson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD172183 Issued in OR

Practice address

2020 Palomino LN
#100
Las Vegas, NV 89106-4842

Phone

(702) 759-8600

NPI assigned

Sep 4, 2008

Last updated

Oct 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NV, OR, AK3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Diagnostic Radiology

Education

Ohio State University College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shelin Agrawal and Hyer PLLCGroup PAC ID 5890955959, 65 clinicians

Ellis Bandt Birkin Kollins and Wong PLLCGroup PAC ID 4486568946, 68 clinicians

Roseburg Radiologists PCGroup PAC ID 0446246003, 45 clinicians

Alaska Radiology Associates IncGroup PAC ID 0648182725, 37 clinicians

Imaging Associates LLCGroup PAC ID 4284641986, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Roseburg, OR, CCN 380027
• Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
• Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
• Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score

78.5 of 100Reported as group

Quality

91.25

Improvement activities

40

Cost

44.39

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 29)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellis Bandt Birkin Kollins & Wong PLLC

  dba Desert Radiology

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1578584678

  OR

  Medicare reassignment Care Compare group NPD
• Shelin Agrawal and Hyer PLLC

  dba Desert Radiology Solutions

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1861783961

  OR

  Medicare reassignment Care Compare group NPD
• Alaska Radiology Associates Inc

  • Body Imaging Physician
  • Anchorage, AK
  • NPI 1003803214

  OR

  Medicare reassignment Care Compare group NPD
• Imaging Associates, LLC

  dba Imaging Associates

  • Diagnostic Radiology Physician
  • Anchorage, AK
  • NPI 1174573174

  OR

  Medicare reassignment Care Compare group NPD
• Roseburg Radiologists P C

  • Diagnostic Radiology Physician
  • Roseburg, OR
  • NPI 1700876117
  Medicare reassignment Care Compare group NPD
• Southwest Medical Associates, Inc

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1659346005
  Medicare reassignment
• Universal Radiology Partners of Nevada LLC

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1588467948
  Medicare reassignment
• Providence Imaging Center

  • Diagnostic Radiology Physician
  • Anchorage, AK
  • NPI 1528006020
  NPD
• Southwest Medical Associates Inc.

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1174607303
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centennial Hills Hospital Medical Center

  dba ER at Valley Vista

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1295319085

  Hospital

  Care Compare affiliation
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  Care Compare affiliation
• Centennial Hills Hospital Medical Center

  dba ER at West Craig Road

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1942991245

  Hospital

  Care Compare affiliation
• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1346230323
  Care Compare affiliation
• Spring Valley Medical Center

  dba ER at Blue Diamond

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1588219117

  Hospital

  Care Compare affiliation
• Spring Valley Medical Center

  dba Valley Health Specialty Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1982289690
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  dba Summerlin Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  dba ER at South Summerlin, Extension of Summerlin Hospital

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1861234619

  Hospital

  Care Compare affiliation
• Commonspirit Oregon

  dba CHI Mercy Medical Center

  • General Acute Care Hospital
  • Roseburg, OR
  • NPI 1477590198
  Care Compare affiliation
• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1003064999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064842",
            "telephone_number": "702-759-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064842",
            "telephone_number": "702-759-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DOUGLAS",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "15305",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD172183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003064999",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR  DR",
            "identifier": "P01352399",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE  DRS",
            "identifier": "P01418514",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Q Larson, REGISTERED DIETITIAN
• Carter Larson
• Charles Coolidge Larson
• Craig Alan Larson, LADC
• Destany Larson
• Gregory Larson
• Jaymie Leigh Larson, M.S., CCC-SLP
• Jennifer Larson
• Jessica Larson, RBT
• Jonah Larson

• Diagnostic Radiology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.