Individual provider Active NPI

Roland Tio, MD

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1205819406
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
NV9248 Issued in NV
Practice address
3804 Cranbrook Hill St
Las Vegas, NV 89129-7688
Phone
(702) 562-3590
Fax
(702) 364-9225
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NV9248 NV Primary

Addresses

Primary practice location

3804 Cranbrook Hill St
Las Vegas, NV 89129-7688

Mailing address

3540 W Sahara Ave
434
Las Vegas, NV 89102-5816
Phone (702) 562-3590

Other identifiers 1

IdentifierTypeStateIssuer
2002143MedicaidNV

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
I20110513000318 NV Practitioner - Anesthesiology 3577749266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PBS Anesthesia LLCGroup PAC ID 7911090204, 42 clinicians

Practice addresses (Care Compare)

7250 Peak Dr
Suite 100
Las Vegas, NV 89128-9028
Phone (702) 386-4700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NV9248NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PBS Anesthesia LLC CurrentSince May 19, 2019 Accepting new patients
Anesco North Broward LLC Anesthesiology Past Accepting new patients
Professional Anesthesia Consultants Anesthesiology Past Accepting new patients

Locations

3157 N Rainbow Blvd
Las Vegas, NV 89108

7250 Peak Dr
Ste 100
Las Vegas, NV 89128
Phone (702) 245-5960

Organizations & group practices 3

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1205819406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 W SAHARA AVE",
            "address_2": "434",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025816",
            "telephone_number": "702-562-3590",
            "fax_number": "702-364-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 CRANBROOK HILL ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297688",
            "telephone_number": "702-562-3590",
            "fax_number": "702-364-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIO",
        "first_name": "ROLAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "NV9248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002143",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.