Individual provider Active NPI

Nicholas Rose, MD

  • Vascular & Interventional Radiology Physician
  • Reno, NV
National Provider Identifier
1013476829
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
27599 Issued in NV
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

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250815003958 NV Practitioner - Diagnostic Radiology 2567793151 Reassigns benefits to 4 organizations
I20250818000590 CA Practitioner - Diagnostic Radiology 2567793151 Reassigns benefits to 3 organizations

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
Shelin Agrawal and Hyer PLLCGroup PAC ID 5890955959, 65 clinicians
Ellis Bandt Birkin Kollins and Wong PLLCGroup PAC ID 4486568946, 68 clinicians
Universal Radiology Partners of NevadaGroup PAC ID 5799295259, 71 clinicians

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 Hospital, Las Vegas, NV, CCN 290054
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10072480TXMDDiagnostic Radiology Physician
A194613CAMDVascular & Interventional Radiology Physician
27599NVMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Jun 3, 2025 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Jun 3, 2025 Accepting new patients
Southwest Medical Associates, Inc PastSince Mar 1, 2021 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.

Hospital & facility affiliations 15

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

View all 15

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

Verify at the official NPI Registry.