Individual provider Active NPI

Anthony Charles Ruggeroli, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
National Provider Identifier
1295751600
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
8127 Issued in NV
Practice address
9159 W Flamingo Rd Ste 100
Las Vegas, NV 89147-6454
Phone
(702) 307-7700
Fax
(702) 307-7942
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 8127 NV Primary
Anesthesiology Physician 207L00000X 8127 NV

Addresses

Primary practice location

9159 W Flamingo Rd Ste 100
Las Vegas, NV 89147-6454

Mailing address

9159 W Flamingo Rd Ste 100
Las Vegas, NV 89147-6454
Phone (702) 307-7700

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
I20050928000581 NV Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 1355376419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Creighton University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9159 W Flamingo Rd
Suite 100
Las Vegas, NV 89147-6454
Phone (702) 307-7700

Merit-based Incentive Payment System (MIPS)

Final score
89.35 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
77.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8127NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony C Ruggeroli MD LTD Pain Medicine CurrentSince Apr 26, 1998 Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

9159 W Flamingo Rd
Ste 100
Las Vegas, NV 89147
Phone (702) 307-7700

2555 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 316-4400

6070 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 307-7700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACCCD/Endpoint/AACCCD

Organizations & group practices 2

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1295751600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9159 W FLAMINGO RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476454",
            "telephone_number": "702-307-7700",
            "fax_number": "702-307-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9159 W FLAMINGO RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476454",
            "telephone_number": "702-307-7700",
            "fax_number": "702-307-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGEROLI",
        "first_name": "ANTHONY",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "8127",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "8127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.