NPIMap

Organization Active NPI

Iriye Medical Group PLLC

Doing business as High Risk Pregnancy Center

  • Maternal & Fetal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1467496240
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
IRIYE MEDICAL GROUP PLLC
Doing business as
High Risk Pregnancy Center
Practice address
2011 Pinto Lane
Suite 200
Las Vegas, NV 89106
Phone
(702) 382-3200
Fax
(702) 382-3575
NPI assigned
Jun 15, 2006
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
IRIYE MEDICAL GROUP PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Kim Mandujano
Title
Administrative Assistant
Phone
(702) 382-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X NU Primary

Addresses

Primary practice location

2011 Pinto Lane
Suite 200
Las Vegas, NV 89106

Mailing address

2011 Pinto Lane
Suite 200
Las Vegas, NV 89106
Phone (702) 382-3200

Other practice location 1

9090 W Post Rd Ste 100
Las Vegas, NV 89148-2419
Phone (702) 382-3200

Other names 1

  • High Risk Pregnancy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001830 NV Part B Supplier - Clinic/Group Practice 2163415910 Receives reassigned benefits from 93 practitioners
Practice locations: Henderson, NV; Reno, NV; Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0931787High Risk Pregnancy Center2011 Pinto LN Ste 200, Las Vegas, NV 89106Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory
Part of
Iriye Medical Group PLLC

Locations

1528 W Warm Springs Rd
Ste 100
Henderson, NV 89014
Phone (702) 213-5601

2845 Siena Heights Dr
Ste 350
Henderson, NV 89052
Phone (702) 382-3200

866 Seven Hills Dr
Ste 203
Henderson, NV 89052
Phone (702) 932-0606

2011 Pinto Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 463-2981

2011 Pinto Ln
Ste 103
Las Vegas, NV 89106
Phone (702) 463-2981

400 Shadow Ln
Ste 206
Las Vegas, NV 89106
Phone (702) 382-3200

9090 W Post Rd
#100
Las Vegas, NV 89148
Phone (702) 382-3200

9970 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 978-8900

9780 S McCarran Blvd
Reno, NV 89523
Phone (775) 404-5000

9780 S McCarran Blvd
Ste 1
Reno, NV 89523
Phone (775) 404-5000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1467496240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 PINTO LANE",
            "address_2": "SUITE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-382-3200",
            "fax_number": "702-382-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 PINTO LANE",
            "address_2": "SUITE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-382-3200",
            "fax_number": "702-382-3575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9090 W Post Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891482419",
            "country_code": "US",
            "telephone_number": "702-382-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRIYE MEDICAL GROUP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IRIYE MEDICAL GROUP PLLC",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "MANDUJANO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "702-382-3200"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Risk Pregnancy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "High Risk Pregnancy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.