Individual provider Active NPI

William James Moffat, DO

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1386224079
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DO3451 Issued in NV
Practice address
5970 S Rainbow Blvd # C
Las Vegas, NV 89118-4200
Phone
(702) 363-4000
NPI assigned
Apr 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X DO3451 NV Primary

Addresses

Primary practice location

5970 S Rainbow Blvd # C
Las Vegas, NV 89118-4200

Mailing address

6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181

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
I20240119003360 NV Practitioner - General Practice 1850789868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

5970 S Rainbow Blvd
Suite 100
Las Vegas, NV 89118-4201
Phone (702) 363-4000

7424 S Rainbow Blvd
Suite a
Las Vegas, NV 89139-6309
Phone (702) 464-3213

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Nevada, LLC CurrentSince Feb 1, 2024 Accepting new patients
William Moffat DO PLLC CurrentSince Jul 6, 2025 Accepting new patients

Locations

5970 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 363-4000

7424 S Rainbow Blvd
Ste A
Las Vegas, NV 89139
Phone (702) 464-3213

5970 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 363-4000

5970 S Rainbow Blvd
#C
Las Vegas, NV 89118
Phone (702) 363-4000

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

Interoperability endpoints

  • Direct secure messaging: philipsclinic.williammoffat@121316.advancedmd-direct.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": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1386224079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 S CIMARRON RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 S RAINBOW BLVD # C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184200",
            "telephone_number": "702-363-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFAT",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "DO3451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.