Daniel Leo Pendleton, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

11991 Issued in NV

Practice address

102 E Lake Mead Pkwy
Henderson, NV 89015-5575

Phone

(330) 493-4443

Fax

(330) 493-8677

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Emergency Medicine

Education

University of Nevada School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vituity-Nevada Medical Services Koury and Partners PCGroup PAC ID 2163968603, 64 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vituity-Nevada Medical Services Koury & Partners PC

  • Emergency Medicine Physician
  • Incline Village, NV
  • NPI 1396585154
  Medicare reassignment Care Compare group NPD
• Fremont Emergency Services Scherr LTD

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1679550149
  Medicare reassignment NPD
• Fremont Emergency Services Scherr LTD

  • Emergency Medicine Physician
  • North Las Vegas, NV
  • NPI 1316488141
  NPD
• Fremont Emergency Services Scherr LTD

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1366429821
  NPD
• Vituity-Nevada Medical Services Koury & Partners PC

  • Emergency Medicine Physician
  • North Las Vegas, NV
  • NPI 1225878085
  NPD
• Vituity-Nevada Medical Services Koury & Partners PC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1669272183
  NPD
• Emergency Physicians Medical Group, Inc

  • Emergency Medicine Physician
  • Moreno Valley, CA
  • NPI 1629018460
  NPD (past)
• Flagstaff Emergency Physicians

  • Emergency Medicine Physician
  • Flagstaff, AZ
  • NPI 1073683991
  NPD (past)
• University Physicians Healthcare

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1730141243
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1366555708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155575",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 W Craig Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890320327",
            "country_code": "US",
            "telephone_number": "702-777-3615",
            "fax_number": "702-642-0808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9880 W Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891478085",
            "country_code": "US",
            "telephone_number": "702-216-7335",
            "fax_number": "702-243-2560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4980 W Sahara Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463402",
            "country_code": "US",
            "telephone_number": "702-216-7365",
            "fax_number": "702-889-0585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4855 Blue Diamond Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891397602",
            "country_code": "US",
            "telephone_number": "702-216-7305",
            "fax_number": "702-634-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "DANIEL",
        "middle_name": "LEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "32361",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "11991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Pena
• Ruben R Pena, PA
• Michelle Penaloza Heredia
• Julian Penaranda, DPT
• Devin William Pendergast
• Adrionna Penha
• Ronald Pennick Jr
• Jessica Penny
• Shannon Pentony, RPT
• Randal Raymond Peoples, MD

• Emergency Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Emergency Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.