Individual provider Active NPI

Randi E Lampert, MD

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1003133711
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
8352 Issued in NV
Practice address
2050 Mariner Dr
Suite #150
Las Vegas, NV 89128-6656
Phone
(702) 228-9066
NPI assigned
Apr 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 8352 NV Primary

Addresses

Primary practice location

2050 Mariner Dr
Suite #150
Las Vegas, NV 89128-6656

Mailing address

2050 Mariner Dr
Suite #150
Las Vegas, NV 89128-6656
Phone (702) 228-9066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190228002837 NV Practitioner - Pediatric Medicine 5193064558 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8352NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group II Rhodes P C CurrentSince Jul 22, 2019 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Jan 1, 2019 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Jul 22, 2019 Accepting new patients

Locations

2845 Siena Heights Dr
Henderson, NV 89052
Phone (702) 617-1227

8680 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 750-3425

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1003133711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 MARINER DR",
            "address_2": "SUITE #150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286656",
            "telephone_number": "702-228-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 MARINER DR",
            "address_2": "SUITE #150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286656",
            "telephone_number": "702-228-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPERT",
        "first_name": "RANDI",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "8352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.