Michael Roos, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0347 Issued in NV

Practice address

1420 E Calvada Blvd Ste 100
Pahrump, NV 89048-3975

Phone

(775) 727-0900

Fax

(702) 727-0902

NPI assigned

Sep 2, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J H Daulat DO PCGroup PAC ID 0143502328, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307

Merit-based Incentive Payment System (MIPS)

Final score

90.65 of 100Reported as group

Promoting interoperability

89

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• J H Daulat DO PC

  dba Mohave Dermatology

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1194268987
  Medicare reassignment Care Compare group
• J H Daulat DO PC

  dba Mohave Dermatology

  • Dermatology Physician
  • Mesquite, NV
  • NPI 1023554185
  NPD (past)
• Jaldeep H Daulat DO Professional Corporation

  dba Mojave Skin & Cancer Clinic

  • Dermatology Physician
  • Laughlin, NV
  • NPI 1366544124
  NPD (past)
• Orange Coast Memorial Medical Center

  • General Acute Care Hospital
  • Fountain Valley, CA
  • NPI 1497702575
  NPD (past)

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

• MMC of Nevada LLC

  dba Mesa View Regional Hospital

  • Critical Access Hospital
  • Mesquite, NV
  • NPI 1275588782
  Care Compare affiliation

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477655223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 S NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046215",
            "telephone_number": "702-254-6821",
            "fax_number": "702-243-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E CALVADA BLVD STE 100",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890483975",
            "telephone_number": "775-727-0900",
            "fax_number": "702-727-0902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Falcon Ridge Pkwy # 400-404",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890278850",
            "country_code": "US",
            "telephone_number": "702-346-5510",
            "fax_number": "702-346-2557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5731 S Fort Apache Rd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485620",
            "country_code": "US",
            "telephone_number": "702-272-1600",
            "fax_number": "702-272-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOS",
        "first_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6711",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA0347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE MEDICAL LICENSE",
            "identifier": "PA0347",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477655223",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "70003254",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Domenique Rodriguez
• Julia Antonia Rogers, CRT
• Stacy Suzanne Rogers
• Ronald Dutton OD, PC (Clear Vision Eye Center)
• Krystal Rood
• Roses LLC (Roses Paradise Home Health Care)
• Lori Rosoff
• Michelle May Ross
• Stephine Ross, RN/LPN
• Shirley Ann Roux

• Medical Physician Assistant in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.