Individual provider Active NPI

Eric Moldestad, MD

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1104018951
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14294 Issued in NV
Practice address
2020 Palomino Lane
Ste 100
Las Vegas, NV 89106-4894
Phone
(702) 759-8600
Fax
(702) 384-1815
NPI assigned
Aug 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 14294 NV Primary
Diagnostic Radiology Physician 2085R0202X 350049 LA
Diagnostic Radiology Physician 2085R0202X 3281405 ID

Addresses

Primary practice location

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

Mailing address

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

Other practice location 1

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-4320

Other practice location 2

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 448-6734

Other identifiers 4

IdentifierTypeStateIssuer
1104018951MedicaidCA
P01077444OtherNVRAILROAD MEDICARE
200471140AMedicaidOK
1104018951MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, LA, ID3 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

Enrollment IDStateProvider typePAC IDDetails
I20120626000401 NV Practitioner - Diagnostic Radiology 2062582174 Reassigns benefits to 5 organizations
I20260106004107 LA Practitioner - Interventional Radiology 2062582174 Reassigns benefits to 1 organization
I20260421003329 ID Practitioner - Diagnostic Radiology 2062582174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shelin Agrawal and Hyer PLLCGroup PAC ID 5890955959, 65 clinicians
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians
Ellis Bandt Birkin Kollins and Wong PLLCGroup PAC ID 4486568946, 68 clinicians
Universal Radiology Partners of NevadaGroup PAC ID 5799295259, 71 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89106
Phone (702) 759-8600

Las Vegas, NV 89149
Phone (702) 759-8600

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

1397 S Loop Rd
Suite 100
Pahrump, NV 89048-4752
Phone (702) 759-8600

2811 W Horizon Ridge Pkwy
Henderson, NV 89052-4394
Phone (702) 759-8600

3025 S Rainbow Blvd
Las Vegas, NV 89146-6582
Phone (702) 759-8600

3025 W Cherry LN
Meridian, ID 83642-8531

3920 S Eastern Ave
Suite 100
Las Vegas, NV 89119-5171
Phone (702) 759-8600

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

4880 Wynn Rd
Suite 100
Las Vegas, NV 89103-5406
Phone (702) 759-4600

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 853-3000

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000

657 N Town Ctr Dr
Las Vegas, NV 89144-6367
Phone (702) 233-7571

6675 S Cimarron Rd
Las Vegas, NV 89113-2132
Phone (702) 759-8600

7200 Cathedral Rock Dr
Suite 230
Las Vegas, NV 89128-0440
Phone (702) 759-8600

Hospital & facility affiliations

  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3281405IDMDDiagnostic Radiology Physician
350049LAMDDiagnostic Radiology Physician
14294NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yampa Valley Medical Center CurrentSince Oct 19, 2024 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Aug 1, 2012 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 29, 2025 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Aug 13, 2019 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Yampa Valley Medical Center Current Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Aug 1, 2012 Accepting new patients
Yampa Valley Medical Center CurrentSince Oct 19, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 29, 2025 Accepting new patients
Horizon Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

3175 Saint Rose Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 932-2740

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

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

7200 Cathedral Rock Dr
Las Vegas, NV 89128
Phone (702) 341-5444

2020 Palomino Ln
Las Vegas, NV 89106
Phone (702) 384-5210

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

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

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

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

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

31 N Nellis Blvd
Las Vegas, NV 89110

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

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

3920 S Eastern Ave
Las Vegas, NV 89119

6675 S Cimarron Rd
Las Vegas, NV 89113

360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

1397 S Loop Rd
Ste 100
Pahrump, NV 89048

Interoperability endpoints

  • Direct secure messaging: emoldestad10376@direct.umcsn.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1104018951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN STE 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": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N Curtis Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061309",
            "country_code": "US",
            "telephone_number": "208-367-4320",
            "fax_number": "208-367-6177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Masonic Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013841",
            "country_code": "US",
            "telephone_number": "318-448-6734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLDESTAD",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "14294",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "350049",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "3281405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104018951",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD  MEDICARE",
            "identifier": "P01077444",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200471140A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104018951",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.