Active NPI
James Bryan Lungo, M.D.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Las Vegas, NV
National Provider Identifier
1407993348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 6514
- Practice address
- 1800 W Charleston Blvd
Umc Pediatric Emergency Services
Las Vegas, NV 89102-2329 - Phone
- (702) 383-3736
- NPI assigned
- Jan 31, 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 |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 6514 | NV | Primary |
Addresses
Primary practice location
1800 W Charleston Blvd
Umc Pediatric Emergency Services
Las Vegas, NV 89102-2329
Mailing address
9337 Scenic Mountain LN
Las Vegas, NV 89117-6403
Phone (702) 256-9515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019413 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6514 | NV | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Clark Pediatrics McCourt, PLLC | Past | Accepting new patients | |
| Emergency Medicine Physicians of Clark Umc McCourt PLLC | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Henderson, NV
- NPI 1568763589
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1427359447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407993348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9337 SCENIC MOUNTAIN LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891176403",
"telephone_number": "702-256-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W CHARLESTON BLVD",
"address_2": "UMC PEDIATRIC EMERGENCY SERVICES",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022329",
"telephone_number": "702-383-3736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNGO",
"first_name": "JAMES",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "NV",
"license": "6514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2019413",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.