Enrique J Lacayo, MD
Individual provider Active NPI Gastroenterology Physician · Las Vegas, NV
NPI 1114958683 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114958683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 3199 (NV)
- Practice address
- 2010 Goldring Ave
Suite 302
Las Vegas, NV 89106-4002 - Phone
- (702) 382-6970
- Fax
- (702) 382-9493
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- University of New Mexico School of Medicine, 1969
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2010 Goldring Ave
Suite 302
Las Vegas, NV 89106-4002
Phone (702) 382-6970
Hospital & facility affiliations
- Valley Hospital Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 129 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 44 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051005000459 | NV | Practitioner - Gastroenterology | 2860427184 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3199 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enrique Jose. Lacayo, M.D., LTD. | Gastroenterology | Current |
Accepting new patients |
| Spring Valley Medical Center | Past | Accepting new patients | |
| Desert Springs Hospital | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients | |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients | |
| Mountain View Hospital, Inc. | Past | Accepting new patients |
Locations
2010 Wellness Way
Ste 302
Las Vegas, NV 89106
Phone (702) 382-6970
2020 Wellness Way
Ste 406
Las Vegas, NV 89106
Phone (702) 737-3337
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIFCDD/Endpoint/FIFCDD
- elacayo6235@direct.umcsn.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 3199 | NV | Yes |
Addresses
Primary practice location
2010 Goldring Ave
Suite 302
Las Vegas, NV 89106-4002
Mailing address
2010 Goldring Ave
Suite 302
Las Vegas, NV 89106-4002
Phone (702) 382-6970
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NV3199 | Other | NV | BLUE CROSS |
| 002002214 | Medicaid | NV | |
| 102134004 | Other | RAILROAD MEDICARE | |
| 2499444 | Other | GHI | |
| 89707 | Other | HEALTH PARTNERS | |
| 275 | Other | NV | NEVADA CARE |
| 25647 | Other | NV | BLUE CROSS |
Other providers in Las Vegas, NV
- Ginalyn Lacaden
- Hazel Lacanienta
- Alvin Emmanuel Aquino Lacap
- Jennifer Lacasse
- Michelle Salvador Lacayanga
- Liliana Lacayo
- Charlz Laccay
- John Laceda
- Ria Rosemarie Lacee
- Takailah Lacey-Kennedy
All providers in Las Vegas, NV · Gastroenterology Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.