Individual provider Active NPI

Mario Pineiro, M.D.

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1306807425
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10615 Issued in NV
Practice address
2510 Wigwam Pkwy
Ste # 104
Henderson, NV 89074-7114
Phone
(702) 947-1000
Fax
(702) 947-1001
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10615 NV Primary

Addresses

Primary practice location

2510 Wigwam Pkwy
Ste # 104
Henderson, NV 89074-7114

Mailing address

PO Box 50070
Henderson, NV 89016-0070
Phone (702) 285-9368

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
I20040310001069 NV Practitioner - Internal Medicine 0749178614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nevada School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3663 E Sunset Rd
Suite 302
Las Vegas, NV 89120-3246
Phone (702) 834-7400

Hospital & facility affiliations

  • Excellent Touch Home Health LLC Home health agency, Las Vegas, NV, CCN 297310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mario Pineiro MD PC Internal Medicine CurrentSince Jun 26, 2006 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

2510 Wigwam Pkwy
Ste 104
Henderson, NV 89074
Phone (702) 596-3883

3663 E Sunset Rd
Ste 302
Las Vegas, NV 89120
Phone (702) 834-7000

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1306807425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50070",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160070",
            "telephone_number": "702-285-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WIGWAM PKWY",
            "address_2": "STE # 104",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747114",
            "telephone_number": "702-947-1000",
            "fax_number": "702-947-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEIRO",
        "first_name": "MARIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.