Individual provider Active NPI

Beau James Walker Toy, MEDICAL DOCTOR

  • Radiation Oncology Physician
  • Las Vegas, NV
National Provider Identifier
1174596175
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
8223 Issued in NV
Practice address
624 South Tonopah Drive
Las Vegas, NV 89106
Phone
(702) 436-9100
Fax
(702) 685-9991
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 8223 NV Primary

Addresses

Primary practice location

624 South Tonopah Drive
Las Vegas, NV 89106

Mailing address

624 South Tonopah Drive
Las Vegas, NV 89106
Phone (702) 436-9100

Other identifiers 1

IdentifierTypeStateIssuer
P00718339OtherNVRAIL ROAD MEDICARE

Other names 1

  • Beaujames Walker Toy Former name

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
I20080211000543 NV Practitioner - Radiation Oncology 4183707334 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8223NVMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Oncology Specialists Toy Goodman Samlowski PC Radiation Oncology CurrentSince Oct 13, 2022 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Oct 23, 2017 Accepting new patients
Optum Medical Group Rhodes P C Radiation Oncology CurrentSince Oct 23, 2017 Accepting new patients
Susan Reisinger, MD Prof. Corp. Radiation Oncology PastSince Sep 23, 2024 Accepting new patients
Associated Radiation Oncologists Radiation Oncology Past Accepting new patients
Nevada Oncology Specialists Toy Goodman Samlowski PC Radiation Oncology Past Accepting new patients

Locations

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

3980 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 463-9100

624 S Tonopah Dr
Las Vegas, NV 89106
Phone (702) 463-9100

9139 W Russell Rd
Las Vegas, NV 89148
Phone (702) 473-1757

Organizations & group practices 6

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1174596175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 SOUTH TONOPAH DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-436-9100",
            "fax_number": "702-685-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 SOUTH TONOPAH DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-436-9100",
            "fax_number": "702-685-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOY",
        "first_name": "BEAU JAMES",
        "middle_name": "WALKER",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NV",
            "license": "8223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00718339",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEAUJAMES",
            "last_name": "TOY",
            "middle_name": "WALKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.