Individual provider Active NPI

William Esteves Mendanha, DO

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1346864436
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DO3712 Issued in NV
Practice address
840 S Rancho Dr Ste 4-740
Las Vegas, NV 89106-3837
Phone
(702) 242-6911
NPI assigned
Jun 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X DO3712 NV Primary

Addresses

Primary practice location

840 S Rancho Dr Ste 4-740
Las Vegas, NV 89106-3837

Mailing address

840 S Rancho Dr Ste 4-740
Las Vegas, NV 89106-3837

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
I20240911001138 NV Practitioner - Physical Medicine and Rehabilitation 1355731472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gold Physical Medicine and Rehabilitation PCGroup PAC ID 9133479546, 27 clinicians

Practice addresses (Care Compare)

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 961-5000

Hospital & facility affiliations

  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • Encompass Health Rehabilitation Hospital of Hender Inpatient rehabilitation facility, Henderson, NV, CCN 293032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Physical Medicine and Rehabilitation PC Physical Medicine & Rehabilitation CurrentSince Aug 29, 2024 Accepting new patients
Encompass Health Rehabilitation Hospital of Henderson, LLC Past Accepting new patients

Locations

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

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

840 S Rancho Dr
Ste 4740
Las Vegas, NV 89106
Phone (702) 242-6911

Organizations & group practices 2

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 2

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1346864436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR STE 4-740",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR STE 4-740",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-242-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDANHA",
        "first_name": "WILLIAM",
        "middle_name": "ESTEVES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "DO3712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.