Organization Active NPI

Robert Toledo DO LTD

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1346573599
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBERT TOLEDO DO LTD
Practice address
2598 Windmill Pkwy Ste 110
Henderson, NV 89074-5476
Phone
(702) 933-5544
Fax
(702) 992-9954
NPI assigned
Sep 4, 2009
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Robert Toledo, DONPI 1598723389
Title
President
Phone
(702) 933-5544

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 207VG0400X NV

Addresses

Primary practice location

2598 Windmill Pkwy Ste 110
Henderson, NV 89074-5476

Mailing address

2598 Windmill Pkwy Ste 110
Henderson, NV 89074-5476
Phone (702) 933-5544

Other identifiers 1

IdentifierTypeStateIssuer
002018542MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060817000613 NV Part B Supplier - Clinic/Group Practice 6406859156 Receives reassigned benefits from 8 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

1552 W Warm Springs Rd
Henderson, NV 89014

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1346573599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2598 WINDMILL PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745476",
            "telephone_number": "702-933-5544",
            "fax_number": "702-992-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2598 WINDMILL PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745476",
            "telephone_number": "702-933-5544",
            "fax_number": "702-992-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT TOLEDO DO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-933-5544",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NV",
            "license": "207VG0400X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018542",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.