Individual provider Active NPI

Zhiqi Feng, DO

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1093205510
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2899 Issued in NV
Practice address
2995 S Jones Blvd
Las Vegas, NV 89146-5668
Phone
(702) 805-1880
Fax
(702) 330-0250
NPI assigned
May 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SL1334 NV
Family Medicine Physician 207Q00000X DO2899 NV Primary

Addresses

Primary practice location

2995 S Jones Blvd
Las Vegas, NV 89146-5668

Mailing address

2995 S Jones Blvd
Las Vegas, NV 89146-5668
Phone (702) 805-1880

Other practice location 1

620 Shadow Ln
Las Vegas, NV 89106-4119
Phone (702) 388-8436

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
I20210727004103 NV Practitioner - Family Practice 1254734379 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SL1334NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Wu, Inc CurrentSince Jul 1, 2021 Accepting new patients

Locations

2995 S Jones Blvd
Ste A
Las Vegas, NV 89146
Phone (702) 227-0005

3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103
Phone (702) 291-8828

2995 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 805-1880

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1093205510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465668",
            "telephone_number": "702-805-1880",
            "fax_number": "702-330-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465668",
            "telephone_number": "702-805-1880",
            "fax_number": "702-330-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Shadow Ln",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064119",
            "country_code": "US",
            "telephone_number": "702-388-8436",
            "fax_number": "702-388-8431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENG",
        "first_name": "ZHIQI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "SL1334",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.