NPIMap

Organization Active NPI

Optum Medical Group Rhodes P C

Doing business as Urology Specialists of Nevada

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1063458594
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OPTUM MEDICAL GROUP RHODES P C
Doing business as
Urology Specialists of Nevada
Practice address
2010 Wellness Way Ste 200
Las Vegas, NV 89106-4142
Phone
(702) 877-0814
Fax
(702) 877-3238
NPI assigned
Jun 22, 2006
Last updated
Oct 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Emily Castillo
Title
Associate Director Credentialing
Phone
(702) 579-3253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2010 Wellness Way Ste 200
Las Vegas, NV 89106-4142

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3253

Other practice location 1

1655 E Cactus Ave Ste 3B
Las Vegas, NV 89183-7722
Phone (702) 724-8787

Other names 1

  • Urology Specialists of Nevada Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714000813 NV Part B Supplier - Clinic/Group Practice 1052390036 Receives reassigned benefits from 198 practitioners
1 other NPI on this enrollment
Practice locations: Las Vegas, NV; Henderson, NV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3175 Saint Rose Pkwy
Fl 2
Henderson, NV 89052
Phone (702) 724-8787

1655 E Cactus Ave
Ste 3B
Las Vegas, NV 89183
Phone (702) 724-8787

2716 N Tenaya Way
Fl 6
Las Vegas, NV 89128
Phone (702) 579-3272

4750 W Oakey Blvd
Ste 2B
Las Vegas, NV 89102
Phone (702) 579-3297

6190 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 485-5885

8410 W Warm Springs Rd
Ste 10
Las Vegas, NV 89113

Practitioners & affiliated clinicians

Practitioners 200

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 200

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1063458594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3253",
            "fax_number": "702-304-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WELLNESS WAY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064142",
            "telephone_number": "702-877-0814",
            "fax_number": "702-877-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 E Cactus Ave Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891837722",
            "country_code": "US",
            "telephone_number": "702-724-8787",
            "fax_number": "702-878-3078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTUM MEDICAL GROUP RHODES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR CREDENTIALING",
        "authorized_official_telephone_number": "702-579-3253"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Specialists of Nevada",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urology Specialists of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.