Individual provider Active NPI

Roberto Molina Martinez, MD

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1346245362
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11994 Issued in NV
Practice address
2020 Palomino LN Ste 100
Las Vegas, NV 89106-4894
Phone
(702) 759-8600
Fax
(702) 384-1815
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 07734R LA
Diagnostic Radiology Physician 2085R0202X 11994 NV Primary

Addresses

Primary practice location

2020 Palomino LN Ste 100
Las Vegas, NV 89106-4894

Mailing address

2020 Palomino LN Ste 100
Las Vegas, NV 89106-4894
Phone (702) 759-8600

Other identifiers 3

IdentifierTypeStateIssuer
100510994MedicaidNV
1908568MedicaidLA
1885342OtherECFMG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070206000688 NV Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 1456257872 Reassigns benefits to 4 organizations
I20210325002662 GU Practitioner - Diagnostic Radiology 1456257872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis Bandt Birkin Kollins and Wong PLLCGroup PAC ID 4486568946, 68 clinicians

Practice addresses (Care Compare)

2020 Palomino LN
Suite 100
Las Vegas, NV 89106-4894
Phone (702) 759-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11994NVMDPharmacist
07734RLAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C CurrentSince Feb 3, 2020 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Dec 8, 2025 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Nov 18, 2019 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Mar 23, 2017 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Feb 3, 2020 Accepting new patients
Hedge Diagnostics, Inc, Apmc Diagnostic Radiology Past Accepting new patients
Orleans Orthopaedic Associates, LLC Past Accepting new patients
Delta MRI LLC Diagnostic Radiology Past Accepting new patients
Yarbro LTD Diagnostic Radiology Past Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Delta Diagnostics LLC Diagnostic Radiology Past Accepting new patients
Delta Digital Diagnostics LLC Diagnostic Radiology Past Accepting new patients
Southwest Imaging Associates, Apmc Diagnostic Radiology Past Accepting new patients
Delta Imaging LLC Past Accepting new patients

Locations

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

901 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-4111

3175 Saint Rose Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 932-2740

2611 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 222-3544

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

3920 S Eastern Ave
Ste 100
Las Vegas, NV 89119
Phone (702) 759-8779

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

3025 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 222-2354

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

6675 S Cimarron Rd
Ste 105
Las Vegas, NV 89113

4880 Wynn Rd
Ste 100
Las Vegas, NV 89103
Phone (702) 759-4600

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

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

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

7200 Cathedral Rock Dr
Ste 230
Las Vegas, NV 89128
Phone (702) 623-7568

888 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 877-5375

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779

31 N Nellis Blvd
Las Vegas, NV 89110

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270

360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500

1397 S Loop Rd
Ste 100
Pahrump, NV 89048

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1346245362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ROBERTO",
        "middle_name": "MOLINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "07734R",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "11994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510994",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1908568",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "1885342",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.