NPIMap

Individual provider Active NPI

Jonathan Wirjo, DO

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1265694673
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO1716 Issued in NV
Practice address
8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138
Phone
(702) 790-2701
Fax
(702) 790-2706
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO1716 NV Primary

Addresses

Primary practice location

8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138

Mailing address

660 S Green Valley Pkwy Ste 140
Henderson, NV 89052-0431
Phone (702) 790-2701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121023000268 NV Practitioner - PsychiatryPractitioner - Neurology 7416107719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 2008
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

660 S Green Valley Pkwy
Suite 140
Henderson, NV 89052-0431
Phone (702) 790-2701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1716NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine CurrentSince Jul 1, 2017 Accepting new patients
Unlv Medicine Current Accepting new patients
Focus Mental Health Solutions Bhushan Wirjo Itzhaki Still PLLC Psychiatry CurrentSince Dec 3, 2012 Accepting new patients
State of Nevada CurrentSince Jul 1, 2013 Accepting new patients
Unlv Medicine CurrentSince Jul 1, 2017 Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Jul 1, 2013 Accepting new patients
State of Nevada Current Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

660 S Green Valley Pkwy
Ste 140
Henderson, NV 89052
Phone (702) 704-3266

8950 W Tropicana Ave
Ste 1
Las Vegas, NV 89147
Phone (702) 240-8639

1650 Community College Dr
Las Vegas, NV 89146
Phone (702) 461-9425

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

3014 W Charleston Blvd
Ste 130
Las Vegas, NV 89102
Phone (702) 671-5127

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

1707 W Charleston Blvd
Ste 230
Las Vegas, NV 89102
Phone (702) 671-5060

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

3016 W Charleston Blvd
Ste 150
Las Vegas, NV 89102
Phone (702) 412-9077

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

Interoperability endpoints

  • Direct secure messaging: jwirjo64487@direct.umcsn.com

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1265694673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S GREEN VALLEY PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520431",
            "telephone_number": "702-790-2701",
            "fax_number": "702-790-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W TROPICANA AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478138",
            "telephone_number": "702-790-2701",
            "fax_number": "702-790-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRJO",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO1716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.