NPIMap

Organization Active NPI

Roger W. Hsiung MD PLLC

Doing business as Colon and Rectal Clinic

  • Colon & Rectal Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1144558552
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
12877 Issued in NV
Legal business name
ROGER W. HSIUNG MD PLLC
Doing business as
Colon and Rectal Clinic
Practice address
6080 S Durango Dr Ste 105
Las Vegas, NV 89113-1778
Phone
(702) 586-6688
Fax
(702) 586-9988
NPI assigned
Nov 23, 2009
Last updated
Nov 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Dr. Roger HsiungNPI 1578687661
Title
Doctor
Phone
(702) 586-6688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 12877 NV Primary

Addresses

Primary practice location

6080 S Durango Dr Ste 105
Las Vegas, NV 89113-1778

Mailing address

6080 S Durango Dr Ste 105
Las Vegas, NV 89113-1778
Phone (702) 586-6688

Other identifiers 2

IdentifierTypeStateIssuer
1578687661OtherNVINDIVIDUAL NPI NUMBER
12003638OtherCAQH

Other names 1

  • Colon and Rectal Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100225000718 NV Part B Supplier - Clinic/Group Practice 0648314807 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV; Henderson, NV

National Provider Directory

National Provider Directory

Locations

1330 E Pebble Rd
Ste 115
Las Vegas, NV 89123
Phone (702) 586-6688

6080 S Durango Dr
Ste 110
Las Vegas, NV 89113

6123 S Rainbow Blvd
Ste A
Las Vegas, NV 89118

6680 N Durango Dr
Ste 110
Las Vegas, NV 89149

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1144558552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 S DURANGO DR STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131778",
            "telephone_number": "702-586-6688",
            "fax_number": "702-586-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 S DURANGO DR STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131778",
            "telephone_number": "702-586-6688",
            "fax_number": "702-586-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER W. HSIUNG MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "HSIUNG",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "702-586-6688",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "NV",
            "license": "12877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1578687661",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12003638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colon and Rectal Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colon and Rectal Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.