Individual provider Active NPI

Maria Lourdes Roy, NP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1124471099
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN00274 Issued in NV
Practice address
6045 S Rainbow Blvd
Las Vegas, NV 89118-2572
Phone
(702) 444-7940
NPI assigned
Jul 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN00274 NV Primary

Addresses

Primary practice location

6045 S Rainbow Blvd
Las Vegas, NV 89118-2572

Mailing address

7038 Placid Lake Ave
Las Vegas, NV 89179-1524
Phone (410) 916-5947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822002148 NV Practitioner - Nurse Practitioner 5496027716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santa Rosa Medical Centers of Nevada IncGroup PAC ID 4587716964, 7 clinicians

Practice addresses (Care Compare)

4972 S Maryland Pkwy
Suite 2
Las Vegas, NV 89119-1531
Phone (702) 740-4789

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
68.2
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN00274NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Medical Centers of Nevada, Inc. CurrentSince Jun 15, 2017 Accepting new patients
Vishal Gandotra MD PC CurrentSince May 15, 2023 Accepting new patients

Locations

5701 W Charleston Blvd
Ste 201
Las Vegas, NV 89146
Phone (702) 750-0313

1930 Village Center Cir
Ste 3448
Las Vegas, NV 89134

4161 S Eastern Ave
Ste B3
Las Vegas, NV 89119
Phone (702) 693-5891

6045 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 444-7940

4972 S Maryland Pkwy
Ste 2
Las Vegas, NV 89119
Phone (702) 740-4789

9310 S Eastern Ave
Ste 123
Las Vegas, NV 89123
Phone (702) 693-6222

1905 Civic Center Dr
Ste 101
North Las Vegas, NV 89030
Phone (702) 649-3739

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAJCA/Endpoint/FDAJCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1124471099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7038 PLACID LAKE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891791524",
            "telephone_number": "410-916-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182572",
            "telephone_number": "702-444-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "MARIA LOURDES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN00274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.