Active NPI
Concierge Care Physicians, LLP
- Internal Medicine Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CONCIERGE CARE PHYSICIANS, LLP
- Practice address
- 2450 W Horizon Ridge Pkwy Ste 150
Henderson, NV 89052-2722 - Phone
- (702) 990-0622
- Fax
- (702) 938-1473
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Russell N. Neibaur, M.D.
- Title
- Physician
- Phone
- (702) 990-0622
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2450 W Horizon Ridge Pkwy Ste 150
Henderson, NV 89052-2722
Mailing address
2450 W Horizon Ridge Pkwy Ste 150
Henderson, NV 89052-2722
Phone (702) 990-0622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2106943 | Concierge Care Physicians | Certificate of waiver | Jan 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
861 Coronado Center Dr
Ste 103
Henderson, NV 89052
Phone (702) 998-0622
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1821476797
-
- Family Medicine Physician
- Henderson, NV
- NPI 1942591664
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1235453093
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1093788051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1104850163",
"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": {
"organization_name": "CONCIERGE CARE PHYSICIANS, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A",
"authorized_official_last_name": "NEIBAUR",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "702-990-0622",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.