Individual provider Active NPI

Sean David Palacios, M.D.

  • Otolaryngology Physician
  • Las Vegas, NV
National Provider Identifier
1295957702
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
12841 Issued in NV
Practice address
3692 E Sunset Rd
Las Vegas, NV 89120-7237
Phone
(702) 735-7668
Fax
(702) 735-1411
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 12841 NV Primary
Otology & Neurotology Physician 207YX0901X 12841 NV

Addresses

Primary practice location

3692 E Sunset Rd
Las Vegas, NV 89120-7237

Mailing address

3692 E Sunset Rd
Las Vegas, NV 89120-7237
Phone (702) 735-7668

Other identifiers 1

IdentifierTypeStateIssuer
1295957702MedicaidNV

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
I20081117000615 NV Practitioner - Otolaryngology 7012077340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Nevada School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sean D. Palacios MD PLLCGroup PAC ID 0042484776, 6 clinicians

Practice addresses (Care Compare)

3692 E Sunset Rd
Nevada Ear and Sinus Institute
Las Vegas, NV 89120-7237
Phone (702) 735-7668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12841NVMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Hospital and Medical Center, LLC 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

Interoperability endpoints

  • Direct secure messaging: sdp@dsp-nv.direct.office.nextgen.com

Organizations & group practices 5

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1295957702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3692 E SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207237",
            "telephone_number": "702-735-7668",
            "fax_number": "702-735-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 E SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207237",
            "telephone_number": "702-735-7668",
            "fax_number": "702-735-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "SEAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "12841",
            "primary": true
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "NV",
            "license": "12841",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295957702",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.