NPIMap

Individual provider Active NPI

Reuel A Aspacio, M.D.

  • Dermatology Physician
  • Las Vegas, NV
National Provider Identifier
1366420887
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
7900 Issued in NV
Practice address
8310 W Sahara Ave
Las Vegas, NV 89117-1873
Phone
(702) 243-4501
Fax
(702) 243-4701
NPI assigned
Jan 4, 2006
Last updated
Apr 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 7900 NV Primary

Addresses

Primary practice location

8310 W Sahara Ave
Las Vegas, NV 89117-1873

Mailing address

8310 W Sahara Ave
Las Vegas, NV 89117-1873
Phone (702) 243-4501

Other identifiers 1

IdentifierTypeStateIssuer
002019666MedicaidNV

Other names 1

  • Reuel M Aspacio Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000926 NV Practitioner - Dermatology 7113052044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Davis School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspacio Dermatology a Professional CorporationGroup PAC ID 3375678204, 3 clinicians

Practice addresses (Care Compare)

8310 W Sahara Ave
Las Vegas, NV 89117-1873
Phone (702) 243-4501

Merit-based Incentive Payment System (MIPS)

Final score
94.01 of 100Reported as individual
Quality
88.03
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions417
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy195

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspacio Dermatology a Professional Corporation Dermatology CurrentSince Jul 1, 2001 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

8310 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 243-4501

911 N Buffalo Dr
Unit 113
Las Vegas, NV 89128
Phone (702) 960-4441

Interoperability endpoints

  • Direct secure messaging: raspacio@directaddress.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1366420887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171873",
            "telephone_number": "702-243-4501",
            "fax_number": "702-243-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171873",
            "telephone_number": "702-243-4501",
            "fax_number": "702-243-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASPACIO",
        "first_name": "REUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "7900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019666",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REUEL",
            "last_name": "ASPACIO",
            "middle_name": "M",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.