Paul K. Treadwell, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

7659 Issued in NV

Practice address

52 N Pecos Rd
Henderson, NV 89074-7319

Phone

(702) 990-4767

Fax

(702) 990-4766

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Radiation Oncology

Education

University of Nevada School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susan Reisinger MD Prof CorpGroup PAC ID 2163464595, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ptreadwell10446@direct.umcsn.com

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.

• Susan Reisinger, MD Prof. Corp.

  • Radiation Oncology Physician
  • Las Vegas, NV
  • NPI 1295703346
  Medicare reassignment Care Compare group NPD
• A. Dosoretz, MD Prof. Corp.

  • Hematology & Oncology Physician
  • Fort Myers, FL
  • NPI 1295094332
  NPD
• Associated Radiation Oncologists

  • Radiation Oncology Physician
  • Las Vegas, NV
  • NPI 1669671855
  NPD (past)
• Desert Springs Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1346230323
  NPD (past)
• Summerlin Hospital Medical Center L L C

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1174592927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747319",
            "telephone_number": "702-990-4767",
            "fax_number": "702-990-4766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1176 Vegas Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891091500",
            "country_code": "US",
            "telephone_number": "702-737-8376",
            "fax_number": "702-737-9771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "PAUL",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NV",
            "license": "7659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018796",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XPY201558",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - LKO",
            "identifier": "P400039093",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Transforming Arts Inc
• Transitional Hospitals Corporation of Nevada LLC
• Trantounian IV DDS PLLC
• Travis Sargent DC PC
• Phillip Travis
• Treat Mental Health Nevada LLC
• Treatment Solutions of Nevada LLC
• Tyler Trees
• Stacie Deane Trejo
• Nikki Trent

• Radiation Oncology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Radiation Oncology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.

Verify at the official NPI Registry.