Individual provider Active NPI

Matthew NG, M.D.

  • Otolaryngology Physician
  • Las Vegas, NV
National Provider Identifier
1245218858
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
10050 Issued in NV
Practice address
5380 S Rainbow Blvd
Suite 324
Las Vegas, NV 89118-1877
Phone
(702) 992-6828
Fax
(702) 992-6820
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 10050 NV Primary

Addresses

Primary practice location

5380 S Rainbow Blvd
Suite 324
Las Vegas, NV 89118-1877

Mailing address

2040 W Charleston Blvd
#601
Las Vegas, NV 89102-2227
Phone (702) 671-2298

Other identifiers 2

IdentifierTypeStateIssuer
002018576MedicaidNV
CS10995OtherNVPHARMACY/CDS

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
I20100421000562 NV Practitioner - Otolaryngology 0941371793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Southern California Keck School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlv MedicineGroup PAC ID 4183991458, 177 clinicians

Practice addresses (Care Compare)

1707 W Charleston Blvd
Las Vegas, NV 89102-2352

5320 S Rainbow Blvd
Suite 260
Las Vegas, NV 89118-1896
Phone (702) 405-8150

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine CurrentSince Jul 1, 2017 Accepting new patients
Unlv Medicine Current Accepting new patients
Unlv Medicine CurrentSince Jul 1, 2017 Accepting new patients
Dignity Health Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Usc Head & Neck Group, Inc Past Accepting new patients

Locations

1707 W Charleston Blvd
Ste 270
Las Vegas, NV 89102
Phone (702) 671-5060

2040 W Charleston Blvd
Ste 601
Las Vegas, NV 89102

5320 S Rainbow Blvd
Ste 250
Las Vegas, NV 89118
Phone (702) 671-6480

5380 S Rainbow Blvd
Ste 324
Las Vegas, NV 89118
Phone (702) 992-6828

5380 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 362-9930

3150 N Tenaya Way
Ste 112
Las Vegas, NV 89128
Phone (702) 562-1777

1707 W Charleston Blvd
Ste 220
Las Vegas, NV 89102
Phone (702) 671-5070

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

Interoperability endpoints

  • Direct secure messaging: mng12910@direct.umcsn.com

Organizations & group practices 7

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245218858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W CHARLESTON BLVD",
            "address_2": "#601",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022227",
            "telephone_number": "702-671-2298",
            "fax_number": "702-384-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD",
            "address_2": "SUITE 324",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181877",
            "telephone_number": "702-992-6828",
            "fax_number": "702-992-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "10050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018576",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY/CDS",
            "identifier": "CS10995",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.