Organization Active NPI

Rosner P. Luss MD LTD

  • Legal Medicine
  • Las Vegas, NV
National Provider Identifier
1295967784
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
8699 Issued in NV
Legal business name
ROSNER P. LUSS MD LTD
Practice address
1621 E Flamingo Rd
16B
Las Vegas, NV 89119-5276
Phone
(702) 696-0506
Fax
(702) 696-0532
NPI assigned
Aug 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Dr. Rosner P Luss, M.D.NPI 1144270349
Title
Owner
Phone
(702) 696-0506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 8699 NV Primary

Addresses

Primary practice location

1621 E Flamingo Rd
16B
Las Vegas, NV 89119-5276

Mailing address

1621 E Flamingo Rd
16B
Las Vegas, NV 89119-5276
Phone (702) 696-0506

Other identifiers 3

IdentifierTypeStateIssuer
29D2033945OtherNVCLIA
964206OtherAZMEDICAID
002018068MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100106000724 NV Part B Supplier - Clinic/Group Practice 3476694928 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1295967784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E FLAMINGO RD",
            "address_2": "16B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195276",
            "telephone_number": "702-696-0506",
            "fax_number": "702-696-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E FLAMINGO RD",
            "address_2": "16B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195276",
            "telephone_number": "702-696-0506",
            "fax_number": "702-696-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSNER P. LUSS MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "LUSS",
        "authorized_official_first_name": "ROSNER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-696-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NV",
            "license": "8699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "29D2033945",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "964206",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018068",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.