Individual provider Active NPI

Carlos Alberto Rodriguez Jr., DO

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1033778790
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DO3601 Issued in NV
Practice address
4141 University Center Drive
Las Vegas, NV 89119-2667
Phone
(702) 733-0320
Fax
(702) 558-0662
NPI assigned
Jun 6, 2019
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Physical Medicine & Rehabilitation Physician 208100000X DO3601 NV Primary

Addresses

Primary practice location

4141 University Center Drive
Las Vegas, NV 89119-2667

Mailing address

4141 University Center Drive
Las Vegas, NV 89119-2667
Phone (702) 733-0320

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
I20240606002325 NV Practitioner - Internal Medicine 1153745690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farzin Farhang MD PLLCGroup PAC ID 3476742271, 12 clinicians
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

1050 W Galleria Dr
Henderson, NV 89011-4800
Phone (702) 629-6992

2250 E Flamingo Rd
Las Vegas, NV 89119-5170
Phone (872) 231-3162

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 408-1096

4375 S Eastern Ave
Las Vegas, NV 89119-6000
Phone (702) 916-1290

5110 W Sahara Ave
Las Vegas, NV 89146-3406
Phone (872) 231-3162

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 408-1096

6900 N Durango Dr
Las Vegas, NV 89149-4409
Phone (702) 408-1096

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 408-1096

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.94 of 100Reported as group
Quality
100
Improvement activities
40
Cost
56.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO3601NVMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Rehabilitation Physicians & Farhang Associates PLLC CurrentSince Jul 31, 2024 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Henderson Long Term Care LLC Past Accepting new patients

Locations

10301 Jeffreys St
Henderson, NV 89052
Phone (702) 269-0781

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 963-7000

2965 Wigwam Pkwy
Henderson, NV 89074
Phone (702) 219-2012

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2170 E Harmon Ave
Las Vegas, NV 89119
Phone (702) 794-0100

2250 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 474-0200

2350 Ione Rd
Las Vegas, NV 89183
Phone (702) 339-7149

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

4015 McLeod Dr
Las Vegas, NV 89121
Phone (702) 433-2200

5110 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 352-9260

5351 Montessouri St
Las Vegas, NV 89113
Phone (702) 251-2200

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

5650 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 470-1102

6180 S Jones Blvd
Las Vegas, NV 89118
Phone (702) 715-4333

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

640 S Martin L King Blvd
Las Vegas, NV 89106
Phone (702) 382-3155

660 S Martin L King Blvd
Las Vegas, NV 89106
Phone (702) 241-2717

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

8550 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 382-3155

9175 W Oquendo Rd
Las Vegas, NV 89148
Phone (702) 252-7342

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

1409 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 649-7711

2856 E Cheyenne Ave
North Las Vegas, NV 89030
Phone (702) 644-1888

Interoperability endpoints

  • Direct secure messaging: carlos.rodriguez@hca3.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1033778790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 UNIVERSITY CENTER DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192667",
            "telephone_number": "702-733-0320",
            "fax_number": "702-558-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 UNIVERSITY CENTER DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192667",
            "telephone_number": "702-733-0320",
            "fax_number": "702-558-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "DO3601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.