NPIMap

Individual provider Active NPI

Richard Lee Penfil, M.D.

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1063571164
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14670 Issued in NV
Practice address
2020 Palomino Lane
Suite 100
Las Vegas, NV 89106-4894
Phone
(702) 759-8600
Fax
(702) 384-1815
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C27481 CA
Diagnostic Radiology Physician 2085R0202X 14670 NV Primary

Addresses

Primary practice location

2020 Palomino Lane
Suite 100
Las Vegas, NV 89106-4894

Mailing address

2020 Palomino Lane
Suite 100
Las Vegas, NV 89106-4894
Phone (702) 759-8600

Other identifiers 1

IdentifierTypeStateIssuer
1063571164MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140611001657 NV Practitioner - Diagnostic Radiology 3971585621 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 1964
Medicare assignment
May accept Medicare assignment
Group practices
Ellis Bandt Birkin Kollins and Wong PLLCGroup PAC ID 4486568946, 68 clinicians
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians

Practice addresses (Care Compare)

2020 Palomino LN
Suite 100
Las Vegas, NV 89106-4894
Phone (702) 759-8600

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (866) 722-1655

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group II Rhodes P C CurrentSince Aug 14, 2019 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Aug 18, 2025 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Feb 1, 2014 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Feb 1, 2014 Accepting new patients
Alfa Diagnostic Network, Inc Past Accepting new patients
Birch Radiology Associates, Inc. Diagnostic Radiology PastSince Jul 14, 2006 Accepting new patients

Locations

2611 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 222-3544

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779

7200 Cathedral Rock Dr
Ste 230
Las Vegas, NV 89128
Phone (702) 623-7568

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

4880 Wynn Rd
Ste 100
Las Vegas, NV 89103
Phone (702) 759-4600

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

3920 S Eastern Ave
Ste 100
Las Vegas, NV 89119
Phone (702) 759-8779

1397 S Loop Rd
Ste 100
Pahrump, NV 89048

Organizations & group practices 8

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1063571164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LANE",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LANE",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENFIL",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C27481",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "14670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063571164",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.