Individual provider Active NPI

Matthew Louis Eltgroth, MD

  • Vascular & Interventional Radiology Physician
  • Henderson, NV
National Provider Identifier
1447576806
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
16338 Issued in NV
Practice address
2980 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4661
Phone
(702) 707-1500
Fax
(725) 291-4848
NPI assigned
Apr 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 16338 NV
Vascular & Interventional Radiology Physician 2085R0204X 16338 NV Primary

Addresses

Primary practice location

2980 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4661

Mailing address

2434 Greens Ave
Henderson, NV 89014-3778
Phone (530) 228-5771

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
I20160517002571 NV Practitioner - Diagnostic Radiology 6406087030 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Francisco School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lucidsolutions IncGroup PAC ID 0749603462, 84 clinicians
Renew Radiology Services PCGroup PAC ID 6709373509, 15 clinicians

Practice addresses (Care Compare)

2434 Greens Ave
Henderson, NV 89014-3778
Phone (614) 340-7740

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 916-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16338NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
Vascular and Interventional Partners Las Vegas Goettl PLLC Vascular & Interventional Radiology CurrentSince Nov 16, 2024 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients

Locations

2980 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (725) 291-3300

2980 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 707-1500

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

7130 Smoke Ranch Rd
Ste 101
Las Vegas, NV 89128
Phone (702) 304-8135

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

Organizations & group practices 4

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 1

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": "1270857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1447576806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 GREENS AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890143778",
            "telephone_number": "530-228-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524661",
            "telephone_number": "702-707-1500",
            "fax_number": "725-291-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTGROTH",
        "first_name": "MATTHEW",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-10",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "16338",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NV",
            "license": "16338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.