Individual provider Active NPI

Rosner Patrick Luss, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1144270349
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8699 Issued in NV
Practice address
1621 E Flamingo Rd
B-16
Las Vegas, NV 89119-5276
Phone
(702) 696-0506
Fax
(702) 696-0532
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8699 NV Primary

Addresses

Primary practice location

1621 E Flamingo Rd
B-16
Las Vegas, NV 89119-5276

Mailing address

1621 E Flamingo Rd
B-16
Las Vegas, NV 89119-5276
Phone (702) 696-0506

Other identifiers 3

IdentifierTypeStateIssuer
964206OtherAZMCAID
29D2033945OtherNVCLIA
002018068MedicaidNV

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000718 NV Practitioner - Internal Medicine 6204977754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1621 E Flamingo Rd
16B
Las Vegas, NV 89119-5276
Phone (702) 696-0506

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rosner P. Luss MD LTD Internal Medicine CurrentSince May 7, 2009 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1621 E Flamingo Rd
Ste 16B
Las Vegas, NV 89119
Phone (702) 696-0506

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1144270349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E FLAMINGO RD",
            "address_2": "B-16",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195276",
            "telephone_number": "702-696-0506",
            "fax_number": "702-696-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E FLAMINGO RD",
            "address_2": "B-16",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195276",
            "telephone_number": "702-696-0506",
            "fax_number": "702-696-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSS",
        "first_name": "ROSNER",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCAID",
            "identifier": "964206",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "29D2033945",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018068",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.