Active NPI
Nicholas Rose, MD
- Vascular & Interventional Radiology Physician
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 27599
- Practice address
- 1155 Mill St
Reno, NV 89502-1576 - Phone
- (775) 327-5174
- Fax
- (775) 982-3900
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | BP10072480 | TX | |
| Vascular & Interventional Radiology Physician | 2085R0204X | A194613 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | 27599 | NV | Primary |
Addresses
Primary practice location
1155 Mill St
Reno, NV 89502-1576
Mailing address
2020 Palomino LN Ste 100
Las Vegas, NV 89106-4894
Phone (702) 759-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Nevada School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Las Vegas, NV 89149
Phone (702) 759-8600
1397 S Loop Rd
Suite 100
Pahrump, NV 89048-4752
Phone (702) 759-8600
2811 W Horizon Ridge Pkwy
Henderson, NV 89052-4394
Phone (702) 759-8600
3920 S Eastern Ave
Suite 100
Las Vegas, NV 89119-5171
Phone (702) 759-8600
4880 Wynn Rd
Suite 100
Las Vegas, NV 89103-5406
Phone (702) 759-4600
620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000
6675 S Cimarron Rd
Las Vegas, NV 89113-2132
Phone (702) 759-8600
7200 Cathedral Rock Dr
Suite 230
Las Vegas, NV 89128-0440
Phone (702) 759-8600
Hospital & facility affiliations
- Centennial Hills Hospital Medical Center
- Spring Valley Hospital Medical Center
- Summerlin Hospital Medical Center
- Valley Hospital Medical Center
- Henderson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10072480 | TX | MD | Diagnostic Radiology Physician |
| A194613 | CA | MD | Vascular & Interventional Radiology Physician |
| 27599 | NV | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelin Agrawal and Hyer PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Ellis Bandt Birkin Kollins & Wong PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Specialists LTD Marasso-Miller | Diagnostic Radiology | Current | Accepting new patients |
| Southwest Medical Associates, Inc | Past | Accepting new patients |
Locations
888 Vintage Ave
Ontario, CA 91764
Phone (407) 288-8440
2811 W Horizon Ridge Pkwy
Henderson, NV 89052
1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124
3025 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 222-2354
6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964
657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571
6675 S Cimarron Rd
Las Vegas, NV 89113
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500
12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1578584678
CA
-
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1588467948
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1437196979
CA
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1295319085
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1942991245
Hospital
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1982289690
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1861234619
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1013476829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 PALOMINO LN STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064894",
"telephone_number": "702-759-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-327-5174",
"fax_number": "775-982-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "NICHOLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-19",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "BP10072480",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A194613",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NV",
"license": "27599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.