Individual provider Active NPI

Robert Joseph Webb, PA

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1154412385
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5375 S Fort Apache Rd Ste 102
Las Vegas, NV 89148-7624
Phone
(702) 463-9159
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5375 S Fort Apache Rd Ste 102
Las Vegas, NV 89148-7624

Mailing address

5375 S Fort Apache Rd Ste 102
Las Vegas, NV 89148-7624
Phone (702) 463-9159

Other practice location 1

3115 S Eastern Ave
Las Vegas, NV 89169-3308
Phone (702) 463-9159

Other identifiers 1

IdentifierTypeStateIssuer
002402303MedicaidNV

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
I20060103000818 NV Practitioner - Physician Assistant 7719909878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modern Wellness Clinic LLCGroup PAC ID 8123423357, 4 clinicians

Practice addresses (Care Compare)

5375 S Fort Apache Rd
Suite 102
Las Vegas, NV 89148-7624
Phone (702) 463-9159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cima Pain Management and Rehabilitation LLC PastSince May 14, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rojwebb@mwc-nv.direct.office.nextgen.com

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1154412385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 S FORT APACHE RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487624",
            "telephone_number": "702-463-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 S FORT APACHE RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487624",
            "telephone_number": "702-463-9159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891693308",
            "country_code": "US",
            "telephone_number": "702-463-9159",
            "fax_number": "702-463-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002402303",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.