Individual provider Active NPI

Tanner Jugler, MD

  • Neuroradiology Physician
  • Las Vegas, NV
National Provider Identifier
1417344573
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
52769 Issued in AZ
Practice address
2950 S Maryland Pkwy
Las Vegas, NV 89109-2204
Phone
(702) 732-6000
Fax
(702) 732-6071
NPI assigned
Apr 16, 2015
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 52769 AZ Primary

Addresses

Primary practice location

2950 S Maryland Pkwy
Las Vegas, NV 89109-2204

Mailing address

7301 Peak Dr Ste 200
Las Vegas, NV 89128-9308
Phone (702) 732-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200819003164 AZ Practitioner - Diagnostic Radiology 9335565498 Reassigns benefits to 1 organization
I20221118002009 NV Practitioner - Diagnostic Radiology 9335565498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arizona College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sdmi, LLCGroup PAC ID 7911897053, 36 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

2950 S Maryland Pkwy
Las Vegas, NV 89109-2204
Phone (702) 732-6000

5055 Crosswater CT
Las Vegas, NV 89149-2520
Phone (480) 306-6949

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Simonmed Reno PLLC CurrentSince Apr 1, 2024 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Smi Imaging, LLC CurrentSince Jan 9, 2023 Accepting new patients
Smi Imaging LLC CurrentSince Jan 9, 2023 Accepting new patients
Sdmi, LLC CurrentSince Jul 6, 2021 Accepting new patients
District Medical Group, Inc CurrentSince Aug 15, 2020 Accepting new patients
District Medical Group, Inc CurrentSince Aug 15, 2020 Accepting new patients
Hoffman, MD, Associated Pathologists Chartered Past Accepting new patients

Locations

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

20414 N 27th Ave
Phoenix, AZ 85027
Phone (602) 849-0115

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

4 Sunset Way
Ste D
Henderson, NV 89014

4 Sunset Way
Henderson, NV 89014
Phone (609) 317-0015

861 Coronado Center Dr
Ste 101
Henderson, NV 89052
Phone (702) 260-2120

2850 Siena Heights Dr
Henderson, NV 89052

800 N Gibson Rd
Ste 110
Henderson, NV 89011

31 N Nellis Blvd
Las Vegas, NV 89110

6925 N Durango Dr
Las Vegas, NV 89149

3061 S Maryland Pkwy
Ste 102
Las Vegas, NV 89109
Phone (702) 369-4570

9070 W Post Rd
Las Vegas, NV 89148

3560 E Flamingo Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 343-3610

10040 Alta Dr
Ste 170
Las Vegas, NV 89145
Phone (701) 732-6000

2767 N Tenaya Way
Las Vegas, NV 89128

2950 S Maryland Pkwy
Las Vegas, NV 89109

800 Shadow Ln
Las Vegas, NV 89106
Phone (702) 366-9700

7455 W Washington Ave
Ste 120
Las Vegas, NV 89128
Phone (702) 433-6455

7301 Peak Dr
Ste 200
Las Vegas, NV 89128

8945 Lindell Rd
Las Vegas, NV 89139

7540 Oso Blanca Rd
Ste 140
Las Vegas, NV 89149
Phone (702) 460-1375

1650 W Craig Rd
Ste 100
North Las Vegas, NV 89032

590 Eureka Ave
Reno, NV 89512
Phone (775) 323-5083

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1417344573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 PEAK DR STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289308",
            "telephone_number": "702-732-6000",
            "fax_number": "702-732-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092204",
            "telephone_number": "702-732-6000",
            "fax_number": "702-732-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUGLER",
        "first_name": "TANNER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AZ",
            "license": "52769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.