Individual provider Active NPI

Susan E Schwartz, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Henderson, NV
National Provider Identifier
1265411516
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
1301 Issued in NV
Practice address
8985 S Pecos Rd Ste 3B
Henderson, NV 89074-7163
Phone
(702) 647-2900
Fax
(702) 440-6060
NPI assigned
Jan 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 5101011091 MI
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 1301 NV Primary

Addresses

Primary practice location

8985 S Pecos Rd Ste 3B
Henderson, NV 89074-7163

Mailing address

2251 N Rampart Blvd Ste 187
Las Vegas, NV 89128-7640
Phone (702) 647-2900

Other identifiers 1

IdentifierTypeStateIssuer
100510939MedicaidNV

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
I20070330000566 NV Practitioner - Otolaryngology 5597702589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8985 S Pecos Rd
Suite 3B
Henderson, NV 89074-7163
Phone (702) 647-2900

Merit-based Incentive Payment System (MIPS)

Final score
15.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
51.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Schwartz DO PC Otolaryngology/Facial Plastic Surgery CurrentSince May 21, 2007 Accepting new patients
ENT Surgical Assoc PC Otolaryngology/Facial Plastic Surgery Past Accepting new patients
Dignity Health Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

8985 S Pecos Rd
Ste 3B
Henderson, NV 89074
Phone (702) 647-2900

9005 S Pecos Rd
Ste 2610
Henderson, NV 89074
Phone (702) 458-5263

2251 N Rampart Blvd
Las Vegas, NV 89128
Phone (702) 388-1300

Organizations & group practices 9

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": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1265411516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 N RAMPART BLVD STE 187",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287640",
            "telephone_number": "702-647-2900",
            "fax_number": "702-440-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8985 S PECOS RD STE 3B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747163",
            "telephone_number": "702-647-2900",
            "fax_number": "702-440-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-14",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101011091",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NV",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510939",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.