Ryan Lacey

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO3338 Issued in NV

Practice address

1800 W. Charleston Blvd.
Las Vegas, NV 89102

Phone

(702) 383-2000

Fax

(702) 671-2376

NPI assigned

Mar 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, WY, MT3 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 3

Specialty

Internal Medicine

Education

Touro Un College of Osteopathic Medicine, Vallejo, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Peters Health Hospital, Helena, MT, CCN 270003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• St Peter'S Health

  • General Acute Care Hospital
  • Helena, MT
  • NPI 1205025145

  MT

  Medicare reassignment Care Compare group NPD
• University Medical Center of Southern Nevada

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127

  NV

  Medicare reassignment NPD
• Lander Valley Physician Practices, LLC

  • Psychiatry Physician
  • Lander, WY
  • NPI 1215971510

  Internal Medicine, WY

  Medicare reassignment NPD
• Riverton Physician Practices, LLC

  • Emergency Medicine Physician
  • Riverton, WY
  • NPI 1205875614

  WY

  Medicare reassignment NPD
• University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1891357901
  NPD
• Riverton Physician Practices LLC

  • Hematology & Oncology Physician
  • Riverton, WY
  • NPI 1619236791
  NPD
• St. Peter'S Health

  • Radiology Clinic/Center
  • Butte, MT
  • NPI 1194785154
  NPD
• St. Peter'S Health

  • General Acute Care Hospital
  • Helena, MT
  • NPI 1528023520
  NPD

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

• St Peter'S Medical Group North

  • Family Medicine Physician
  • Helena, MT
  • NPI 1477844744

  Hospital

  Care Compare affiliation
• St. Peter'S Health

  • Family Medicine Physician
  • Helena, MT
  • NPI 1083869390

  Hospital

  Care Compare affiliation
• St. Peter'S Health

  • General Acute Care Hospital
  • Helena, MT
  • NPI 1528023520

  Hospital

  Care Compare affiliation
• St. Peter'S Hospital

  • Ambulance
  • Helena, MT
  • NPI 1760586481

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1083175244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W. CHARLESTON BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2000",
            "fax_number": "702-671-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W. CHARLESTON BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2000",
            "fax_number": "702-671-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO3338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takailah Lacey-Kennedy
• Jade B Lacey
• Jesusa Lacey
• Louis Edward Lacey Jr., CADC-INTERN
• Markela Lacey, RN
• Stephen R Lacey
• Tammy Ayanna Lacey
• Yvonne Lacey, LPN/LVN
• Connie Lach
• Nikolas Arthur Lach

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.