Active NPI
Warren W Magnus, D.O.
- Family Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1073
- Practice address
- 3201 S Maryland Pkwy Ste 218
Las Vegas, NV 89109-2424 - Phone
- (702) 862-8075
- Fax
- (702) 862-8077
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1073 | NV | Primary |
Addresses
Primary practice location
3201 S Maryland Pkwy Ste 218
Las Vegas, NV 89109-2424
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376767673 | Medicaid | NV | |
| CS11320 | Other | NV | PHARMACY/CONTROLLED SUBSTANCE CERTIFICATE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1815 E Lake Mead Blvd
Suite 113
North Las Vegas, NV 89030-7188
Phone (702) 639-8110
3201 S Maryland Pkwy
Suite 218
Las Vegas, NV 89109-2424
Phone (702) 862-8075
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.5 of 100
- Quality
- 64.78
- Improvement activities
- 40
- Cost
- 79.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073 | NV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Past | Accepting new patients | |
| North Vista Hospital LLC | Past | Accepting new patients |
Locations
6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200
8390 Champions Gate Blvd
Ste 215
Champions Gate, FL 33896
Phone (407) 479-2013
3201 S Maryland Pkwy
Ste 218
Las Vegas, NV 89109
Phone (702) 862-8075
1815 E Lake Mead Blvd
Ste 113
North Las Vegas, NV 89030
Phone (702) 639-8110
Interoperability endpoints
- warren.magnus.1@26356.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Infectious Disease Physician
- Las Vegas, NV
- NPI 1447876156
-
- Psychiatric Hospital Unit
- North Las Vegas, NV
- NPI 1619050549
-
- Health Service Clinic/Center
- North Miami Beach, FL
- NPI 1427218874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1376767673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "323-467-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 S MARYLAND PKWY STE 218",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092424",
"telephone_number": "702-862-8075",
"fax_number": "702-862-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNUS",
"first_name": "WARREN",
"middle_name": "W",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "1073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376767673",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY/CONTROLLED SUBSTANCE CERTIFICATE",
"identifier": "CS11320",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.