Teodoro Agtay, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN001770 Issued in NV

Practice address

7730 W Cheyenne Ave Ste 107
Las Vegas, NV 89129-8412

Phone

(725) 221-1568

Fax

(725) 333-9218

NPI assigned

Jul 15, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Malone-Davis Neurology PLLC 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Health & Care Professional Network LLC Home health agency, Las Vegas, NV, CCN 297135

Merit-based Incentive Payment System (MIPS)

Final score

97.79 of 100Reported as individual

Quality

89.63

Promoting interoperability

94

Improvement activities

40

Cost

74.67

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFABBD

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.

• Malone-Davis Neurology PLLC

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1932622750

  NV

  Medicare reassignment Care Compare group NPD
• Lifecare Infusion Inc.

  • Infusion Therapy Clinic/Center
  • Las Vegas, NV
  • NPI 1265074868

  Nurse Practitioner, NV

  Medicare reassignment NPD
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• Janda, Mahajan & Balsiger PLLC

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1134075161
  NPD (past)
• Lifecare Medical Supplies West Inc

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1578912861
  NPD (past)
• Physicians Medical Center Kaufman, LTD

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1952356412
  NPD (past)
• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1346230323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Health & Care Professional Network LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1447344353
  Care Compare affiliation

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1407263106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 W CHEYENNE AVE STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298412",
            "telephone_number": "725-221-1568",
            "fax_number": "725-333-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 W CHEYENNE AVE STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298412",
            "telephone_number": "725-221-1568",
            "fax_number": "725-333-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGTAY",
        "first_name": "TEODORO",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2022-05-19",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amado-Alexander Agrisola, PMHNP-BC
• Matthew Solomon Agriss
• Agron PLLC
• Agropec Trading LLC
• Darren Jan Agtay, APRN-FNP
• Ajumobi Charles Agu, M.D.
• Ugoezi Bridget Agu
• Sonia Aguado
• Arleen Aguas
• Mariah Aguas, LPN

• All providers in Las Vegas, NV
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.

Verify at the official NPI Registry.