Individual provider Active NPI

Serena Ann Klugh, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
National Provider Identifier
1225009988
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
11405 Issued in NV
Practice address
9280 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4860
Phone
(702) 696-7256
Fax
(702) 796-7256
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 11405 NV Primary

Addresses

Primary practice location

9280 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4860

Mailing address

PO Box 400475
Las Vegas, NV 89140-0475
Phone (702) 696-7256

Other identifiers 1

IdentifierTypeStateIssuer
1225009988MedicaidNV

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
I20050601000128 NV Practitioner - Endocrinology 9335181338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Morehouse School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Medical Group LLCGroup PAC ID 6204926298, 12 clinicians

Practice addresses (Care Compare)

9280 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4412
Phone (702) 696-7256

Merit-based Incentive Payment System (MIPS)

Final score
85.38 of 100Reported as group
Quality
79.19
Improvement activities
40
Cost
74.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Medical Group LLC Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2008 Accepting new patients
Desert Springs Hospital Past Accepting new patients
James W Snyder Diabetes Endocrinology Consultants, PC Endocrinology, Diabetes & Metabolism Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Palm Medical Group, Nakhle MD, PLLC Endocrinology, Diabetes & Metabolism Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

3150 N Tenaya Way
Ste 415
Las Vegas, NV 89128
Phone (702) 240-0800

9280 W Sunset Rd
Ste 306
Las Vegas, NV 89148

Interoperability endpoints

  • Direct secure messaging: palmmedicalgroup.serenaklugh@119082.advancedmd-direct.com

Organizations & group practices 8

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1225009988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400475",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891400475",
            "telephone_number": "702-696-7256",
            "fax_number": "702-796-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD",
            "address_2": "SUITE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484860",
            "telephone_number": "702-696-7256",
            "fax_number": "702-796-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUGH",
        "first_name": "SERENA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "11405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225009988",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.