NPIMap

Individual provider Active NPI

Dylan Ryan Rogers, DO

  • Sports Medicine (Family Medicine) Physician
  • Henderson, NV
National Provider Identifier
1104351402
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
DO3325 Issued in NV
Practice address
2779 W Horizon Ridge Pkwy Ste 200
Henderson, NV 89052-4186
Phone
(702) 990-2290
NPI assigned
Apr 24, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X DO3325 NV Primary

Addresses

Primary practice location

2779 W Horizon Ridge Pkwy Ste 200
Henderson, NV 89052-4186

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (024) 064-7866

Other practice location 1

8285 W Arby Ave Ste 165
Las Vegas, NV 89113-2239
Phone (702) 492-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230725000759 NV Practitioner - Family PracticePractitioner - Sports Medicine 5193059459 Reassigns benefits to 1 organization
I20251215001346 OR Practitioner - Sports Medicine 5193059459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians
Tuality Medical Group LLCGroup PAC ID 7416173414, 289 clinicians

Practice addresses (Care Compare)

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111

Hospital & facility affiliations

  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Hillsboro Medical Center Hospital, Hillsboro, OR, CCN 380021

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
63.87
Promoting interoperability
96
Improvement activities
40
Cost
76.83

Merit-based Incentive Payment System (MIPS)

Final score
87.73 of 100Reported as group
Quality
100
Improvement activities
40
Cost
59.09

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Medical Group LLC CurrentSince Mar 25, 2026 Accepting new patients
Tuality Medical Group LLC CurrentSince Mar 25, 2026 Accepting new patients
Crovetti Bone and Joint Institute of Southern Nevada CurrentSince Jan 1, 2024 Accepting new patients
University Professional Services CurrentSince Dec 1, 2025 Accepting new patients
University Professional Services CurrentSince Dec 1, 2025 Accepting new patients
First Choice Medical Group PLLC PastSince Jun 1, 2021 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Jan 1, 2024 Accepting new patients
University Professional Services Past Accepting new patients

Locations

2779 W Horizon Ridge Pkwy
Ste 200
Henderson, NV 89052
Phone 7029902290222

10040 Alta Dr
Ste 140
Las Vegas, NV 89145

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
  • Direct secure messaging: drogers739883@direct.hfhs.org

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1104351402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "024-064-7866",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 W HORIZON RIDGE PKWY STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524186",
            "telephone_number": "702-990-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8285 W Arby Ave Ste 165",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891132239",
            "country_code": "US",
            "telephone_number": "702-492-8070",
            "fax_number": "702-492-8079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "DYLAN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NV",
            "license": "DO3325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.