Individual provider Active NPI

Michael Yudez, D.O.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1376723056
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2105 Issued in NV
Practice address
9010 W Cheyenne Ave
Suite 280 E
Las Vegas, NV 89129-8932
Phone
(702) 240-8646
Fax
(702) 932-8347
NPI assigned
Nov 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2105 NV Primary

Addresses

Primary practice location

9010 W Cheyenne Ave
Suite 280 E
Las Vegas, NV 89129-8932

Mailing address

9010 W Cheyenne Ave
Suite 280 E
Las Vegas, NV 89129-8932
Phone (702) 240-8646

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
I20161212001158 NV Practitioner - Family Practice 2365591450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dana Forte D O LTDGroup PAC ID 1254239387, 14 clinicians

Practice addresses (Care Compare)

9010 W Cheyenne Ave
Las Vegas, NV 89129-8932
Phone (702) 240-8646

Merit-based Incentive Payment System (MIPS)

Final score
88.98 of 100Reported as apm
Quality
85.1
Promoting interoperability
88.1
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2105NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Forte D O LTD Family Medicine CurrentSince Oct 29, 2016 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Mercy Regional Medical Center of Durango Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
HCA Healthone LLC Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

1535 W Warm Springs Rd
Ste 135
Henderson, NV 89014
Phone (702) 450-3385

9010 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 240-8646

9010 W Cheyenne Ave
Ste 280
Las Vegas, NV 89129
Phone (702) 240-8646

4845 S Rainbow Blvd
Ste 402
Las Vegas, NV 89103
Phone (702) 362-9800

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.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1376723056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 W CHEYENNE AVE",
            "address_2": "SUITE 280 E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298932",
            "telephone_number": "702-240-8646",
            "fax_number": "702-932-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 W CHEYENNE AVE",
            "address_2": "SUITE 280 E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298932",
            "telephone_number": "702-240-8646",
            "fax_number": "702-932-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUDEZ",
        "first_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "2105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.