Active NPI
Bennett Vitug, DO
- Hospice and Palliative Medicine (Family Medicine) Physician
- Henderson, NV
National Provider Identifier
1154987139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- DO3038
- Practice address
- 10624 S Eastern Ave # a-955
Henderson, NV 89052-2982 - Phone
- (702) 407-7700
- NPI assigned
- May 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO3038 | NV | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | DO3038 | NV | Primary |
Addresses
Primary practice location
10624 S Eastern Ave # a-955
Henderson, NV 89052-2982
Mailing address
10624 S Eastern Ave # a-955
Henderson, NV 89052-2982
Phone (702) 407-7700
Other practice location 1
4131 University Center Dr
Las Vegas, NV 89119-6718
Phone (702) 938-3929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154987139 | Medicaid | NV |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7495 W Azure Dr
Suite 209
Las Vegas, NV 89130-4440
Phone (702) 407-7700
Hospital & facility affiliations
- Spring Valley Hospital Medical Center
- Saint Rose Dominican Hospitals - San Martin Campus
- Valley Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.15 of 100
- Quality
- 36.67
- Improvement activities
- 40
- Cost
- 61.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platinum Hospitalists LLP | Family Medicine | Current | Accepting new patients |
| Platinum Hospitalists LLP | Family Medicine | Current | Accepting new patients |
Locations
10624 S Eastern Ave
Ste A995
Henderson, NV 89052
10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700
7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653
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.
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1528101284
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1982289690
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1417947490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1154987139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10624 S EASTERN AVE # A-955",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-407-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10624 S EASTERN AVE # A-955",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-407-7700"
}
],
"practiceLocations": [
{
"address_1": "4131 University Center Dr",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891196718",
"country_code": "US",
"telephone_number": "702-938-3929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VITUG",
"first_name": "BENNETT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-15",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "DO3038",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NV",
"license": "DO3038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154987139",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
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- Vitalis Milk, LLC
- Vitality Restored Chiropractic and Wellness Center
- Vituity - Nevada Koury & Partners PLLC
- Vituity - Nevada Koury & Partners PLLC
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- Vituity-Nevada Medical Services Koury & Partners PC
- Ana Vives
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.