Individual provider Active NPI

Dean P Berthoty, M.D.

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1366420390
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5656 Issued in NV
Practice address
3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone
(702) 942-4123
Fax
(702) 942-4124
NPI assigned
Jan 9, 2006
Last updated
Jan 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5656 NV Primary

Addresses

Primary practice location

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317

Mailing address

1 Independence PT Ste 202
Greenville, SC 29615-4536
Phone (877) 406-2916

Other identifiers 3

IdentifierTypeStateIssuer
300047405OtherRR MEDICARE
NV5656OtherNVBLUE
200290211MedicaidNV

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
I20051006001009 NV Practitioner - Diagnostic Radiology 4688699812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians

Practice addresses (Care Compare)

29 Montelago Blvd
Unit 333
Henderson, NV 89011-3240
Phone (904) 399-5550

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (866) 722-1655

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Jul 1, 1966 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Jul 12, 2025 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology PastSince Mar 20, 2001 Accepting new patients
Red Rock at Maryland Parkway LLC Diagnostic Radiology Past Accepting new patients
Northern Virginia Radiology Consultants, PLLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 29)

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

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

1260 Nevada Pacific Blvd
Fernley, NV 89408
Phone (775) 442-0683

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 963-7000

2581 Saint Rose Pkwy
Henderson, NV 89074
Phone (702) 780-2700

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

1550 S Pavilion Center Dr
Las Vegas, NV 89135
Phone (970) 391-6408

2020 Palomino Ln
Las Vegas, NV 89106
Phone (702) 384-5210

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

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

3025 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 222-3544

31 N Nellis Blvd
Las Vegas, NV 89110

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

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

4101 Wagon Trail Ave
Las Vegas, NV 89118
Phone (702) 576-9545

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

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

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

6675 S Cimarron Rd
Las Vegas, NV 89113

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

7050 W Craig Rd
Las Vegas, NV 89129
Phone (702) 369-7671

7130 Smoke Ranch Rd
Las Vegas, NV 89128
Phone (702) 588-7960

7130 Smoke Ranch Rd
Ste 101
Las Vegas, NV 89128
Phone (702) 304-8135

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

8656 W Patrick Ln
Las Vegas, NV 89148
Phone (702) 509-9904

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1366420390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 202",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "877-406-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092317",
            "telephone_number": "702-942-4123",
            "fax_number": "702-942-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHOTY",
        "first_name": "DEAN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "5656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300047405",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "NV5656",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200290211",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.