Russell N Neibaur, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5228 Issued in NV

Practice address

2450 W Horizon Ridge Pkwy Ste 150
Henderson, NV 89052-2722

Phone

(702) 990-0622

Fax

(702) 938-1473

NPI assigned

Feb 9, 2006

Last updated

Jul 30, 2024By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

88.77 of 100Reported as group

Quality

98.26

Promoting interoperability

100

Improvement activities

40

Cost

64.31

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: russell.neibaur.1@13309.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Concierge Care Physicians, LLP

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1104850163
  Authorized official Same address or phone
• Healtht LLC

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1942911599
  NPD
• Leavitt Medical Associates of Nevada PC

  • Dermatology Physician
  • Henderson, NV
  • NPI 1124436480
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1093788051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HORIZON RIDGE PKWY STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522722",
            "telephone_number": "702-990-0622",
            "fax_number": "702-938-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W HORIZON RIDGE PKWY STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522722",
            "telephone_number": "702-990-0622",
            "fax_number": "702-938-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIBAUR",
        "first_name": "RUSSELL",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "5228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11041321",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5228",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "CS03683",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Neenan
• Patricia Neff
• Gabrielle Negron
• Rae M Nehring, PHARM D
• Darrick William Neibaur, D.O.
• John Rick Neilson, D.D.S., M.S.
• Latisha Nelms-Tucker
• Bryce Tyler Nelson, PA-C
• Cherelle Nelson, PHARMD, RPH
• Elaine Nelson, MS, LMFT, LCADC

• Internal Medicine Physician in Henderson, NV
• Providers in Henderson, 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 Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.