Robert R. Gao, M.D. a Professional Corporation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

9991 Issued in NV

Legal business name

ROBERT R. GAO, M.D. A PROFESSIONAL CORPORATION

Practice address

3022 S Durango Dr Ste 100
Las Vegas, NV 89117-4440

Phone

(702) 269-0781

Fax

(702) 269-0788

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert R Gao, MDNPI 1134110596

Title

President

Phone

(702) 269-0781

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert R Gao, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1134110596
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1376576579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530369",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890530369",
            "telephone_number": "702-269-0781",
            "fax_number": "702-269-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 S DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174440",
            "telephone_number": "702-269-0781",
            "fax_number": "702-269-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. GAO, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "GAO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-269-0781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "9991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CC9211",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018489",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• At Robert

• Physical Medicine & Rehabilitation Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Medicine & Rehabilitation Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.