Individual provider Active NPI

Randall Todd Weingarten, M.D.

  • Otolaryngology Physician
  • Henderson, NV
National Provider Identifier
1376649012
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
8716 Issued in NV
Practice address
11201 S Eastern Ave
Suite 210
Henderson, NV 89052-6201
Phone
(702) 617-9599
Fax
(702) 614-8937
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 8716 NV Primary

Addresses

Primary practice location

11201 S Eastern Ave
Suite 210
Henderson, NV 89052-6201

Mailing address

PO Box 50007
Henderson, NV 89016-0007
Phone (702) 617-9599

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
I20040407000593 NV Practitioner - Otolaryngology 2961495692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rush Medical College of Rush University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10410 S Eastern Ave
Suite 100
Henderson, NV 89052-4196

Hospital & facility affiliations

  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Randall T Weingarten MD PC Otolaryngology CurrentSince Oct 15, 2004 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Dignity Health Past Accepting new patients
Terrance Kwiatkowski, Professional Corporation Otolaryngology Past Accepting new patients

Locations

10410 S Eastern Ave
Ste 110
Henderson, NV 89052
Phone (702) 966-3100

10410 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 914-7150

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376649012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50007",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160007",
            "telephone_number": "702-617-9599",
            "fax_number": "702-256-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 S EASTERN AVE",
            "address_2": "SUITE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526201",
            "telephone_number": "702-617-9599",
            "fax_number": "702-614-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGARTEN",
        "first_name": "RANDALL",
        "middle_name": "TODD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "8716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.