Individual provider Active NPI

Ursula Inge Ferguson

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1053327809
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1047 Issued in NV
Practice address
901 Rancho LN
Las Vegas, NV 89106-3836
Phone
(702) 636-3040
Fax
(702) 636-3041
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1047 NV Primary

Addresses

Primary practice location

901 Rancho LN
Las Vegas, NV 89106-3836

Mailing address

3053 Blazing Creek Way
Henderson, NV 89052-4023
Phone (702) 492-0419

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
I20171116001920 NV Practitioner - Internal Medicine 8628334117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Vegas Medical Group LLCGroup PAC ID 6800118522, 51 clinicians

Practice addresses (Care Compare)

5320 S Rainbow Blvd
Suite 302
Las Vegas, NV 89118-1896
Phone (702) 382-8222

Hospital & facility affiliations

  • Palmeira Home Healthcare Home health agency, Las Vegas, NV, CCN 297112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Medical Group LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Southwest Medical Associates, Inc Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

1389 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (725) 333-8400

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

5320 S Rainbow Blvd
Ste 302
Las Vegas, NV 89118
Phone (702) 382-8222

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

Organizations & group practices 7

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 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053327809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 BLAZING CREEK WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524023",
            "telephone_number": "702-492-0419",
            "fax_number": "702-636-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RANCHO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063836",
            "telephone_number": "702-636-3040",
            "fax_number": "702-636-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "URSULA",
        "middle_name": "INGE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "1047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.