NPIMap

Individual provider Active NPI

Elizabeth L Huck, DO

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1255375838
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO2004 Issued in NV
Practice address
8530 W Sunset Rd
Suite 120
Las Vegas, NV 89113-2215
Phone
(702) 254-5004
NPI assigned
Jun 15, 2006
Last updated
Sep 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DO2004 NV Primary

Addresses

Primary practice location

8530 W Sunset Rd
Suite 120
Las Vegas, NV 89113-2215

Mailing address

7241 W Sahara Ave
Suite 120
Las Vegas, NV 89117-2858
Phone (702) 254-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150923000151 NV Practitioner - Diagnostic Radiology 5799707436 Reassigns benefits to 2 organizations
I20251205002476 CA Practitioner - Diagnostic Radiology 5799707436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kittusamy LLCGroup PAC ID 8820171911, 9 clinicians
Mountain Communities Healthcare DistrictGroup PAC ID 9133227135, shared by 4 NPIs, 34 clinicians
KC Tan MD Medical CorporationGroup PAC ID 2062719719, 23 clinicians

Practice addresses (Care Compare)

3201 S Maryland Pkwy
Suite 102
Las Vegas, NV 89109-2423
Phone (702) 254-5004

60 Easter Ave
Weaverville, CA 96093-8054
Phone (530) 623-5541

7500 Smoke Ranch Rd
Suite 100
Las Vegas, NV 89128-0373
Phone (702) 254-5004

7660 W Cheyenne Ave
Suite 112
Las Vegas, NV 89129-6757
Phone (702) 254-5004

7904 Waterfalls Ave
Las Vegas, NV 89128-6709
Phone (909) 713-8868

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15126CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Communities Healthcare District CurrentSince Dec 3, 2025 Accepting new patients
KC Tan, M.D. Medical Corporation Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Mountain Communities Healthcare District CurrentSince Dec 3, 2025 Accepting new patients
Mountain Communities Healthcare District CurrentSince Dec 3, 2025 Accepting new patients
Kittusamy LLC Diagnostic Radiology CurrentSince Aug 4, 2015 Accepting new patients
Clinical Radiologists, S.C. Diagnostic Radiology Past Accepting new patients
Springfield Radiologists SC Diagnostic Radiology Past Accepting new patients
Advanced Medical Testing Systems, Inc. Past Accepting new patients
Memorial Medical Center Past Accepting new patients
Springfield Clinic, LLP PastSince Nov 22, 2004 Accepting new patients
Pco PC Diagnostic Radiology Past Accepting new patients

Locations

7241 W Sahara Ave
Ste 120
Las Vegas, NV 89117

7660 W Cheyenne Ave
Ste 112
Las Vegas, NV 89129
Phone (702) 413-5079

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1255375838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7241 W SAHARA AVE",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172858",
            "telephone_number": "702-254-5004",
            "fax_number": "702-432-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 W SUNSET RD",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132215",
            "telephone_number": "702-254-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCK",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "DO2004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.