Individual provider Active NPI

Consolacion Saqueton Saqueton, MD

  • Pediatric Critical Care Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1376578674
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
9394 Issued in NV
Practice address
1800 W Charleston Blvd - University Medical Center
Las Vegas, NV 89102-2329
Phone
(702) 383-2420
Fax
(702) 383-8402
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 9394 NV Primary

Addresses

Primary practice location

1800 W Charleston Blvd - University Medical Center
Las Vegas, NV 89102-2329

Mailing address

PO Box 371540
Las Vegas, NV 89137-1540
Phone (702) 383-2420

Other identifiers 7

IdentifierTypeStateIssuer
20118174MedicaidNV
274900MedicaidOR
570805MedicaidAZ
101466763MedicaidPA
XPY197225MedicaidCA
8265969MedicaidWA
1489049MedicaidTX

Other names 1

  • Dr. Consolacion Saqueton Cochran Other name

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
I20120710000577 NV Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 4789849175 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meena P Vohra MD PC Pediatric Critical Care Medicine CurrentSince Nov 14, 2019 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

Interoperability endpoints

  • Direct secure messaging: csaqueton5489@direct.umcsn.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1376578674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371540",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891371540",
            "telephone_number": "702-383-2420",
            "fax_number": "702-383-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD - UNIVERSITY MEDICAL CENTER",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022329",
            "telephone_number": "702-383-2420",
            "fax_number": "702-383-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAQUETON",
        "first_name": "CONSOLACION",
        "middle_name": "SAQUETON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NV",
            "license": "9394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20118174",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274900",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "570805",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101466763",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XPY197225",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8265969",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1489049",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSOLACION",
            "last_name": "COCHRAN",
            "middle_name": "SAQUETON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.