Individual provider Active NPI

Rulon Douglas Owen, DO

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1407067119
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2155 Issued in NV
Practice address
7660 W. Cheyenne Avenue
Suite 110
Las Vegas, NV 89129
Phone
(702) 722-2665
Fax
(702) 722-2605
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5531 CA
Family Medicine Physician 207Q00000X DO2155 NV Primary

Addresses

Primary practice location

7660 W. Cheyenne Avenue
Suite 110
Las Vegas, NV 89129

Mailing address

7660 W. Cheyenne Avenue
Suite 110
Las Vegas, NV 89129
Phone (702) 722-2665

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
I20170201000599 NV Practitioner - Family Practice 5597857243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7660 W Cheyenne Ave
Suite 110
Las Vegas, NV 89129-6757
Phone (702) 722-2665

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
39.21 of 100Reported as individual
Quality
40.75
Improvement activities
0
Cost
76.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A5531CAMDFamily Medicine Physician
DO2155NVMDFamily Medicine Physician
5531CAMDOccupational Therapist
000000CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Family Medicine Inc. Family Medicine CurrentSince Aug 7, 2018 Accepting new patients

Locations

7660 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129
Phone (702) 240-5456

Organizations & group practices 1

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 3

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1407067119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 W. CHEYENNE AVENUE",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129",
            "telephone_number": "702-722-2665",
            "fax_number": "702-722-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 W. CHEYENNE AVENUE",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129",
            "telephone_number": "702-722-2665",
            "fax_number": "702-722-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "RULON",
        "middle_name": "DOUGLAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5531",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.