Organization Active NPI

Renee Lim Ngo PC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1477675734
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10905 Issued in NV
Legal business name
RENEE LIM NGO PC
Practice address
3680 E Sunset Rd Ste 100
Las Vegas, NV 89120-7219
Phone
(702) 855-0748
Fax
(702) 436-8088
NPI assigned
Apr 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Renee L Ngo, MDNPI 1902889264
Title
President
Phone
(702) 855-0748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 10905 NV Primary

Addresses

Primary practice location

3680 E Sunset Rd Ste 100
Las Vegas, NV 89120-7219

Mailing address

PO Box 778207
Henderson, NV 89077-8207
Phone (702) 855-0748

Other identifiers 1

IdentifierTypeStateIssuer
TXIXMedicaidNV

Other names 1

  • Renee Lim Ngo, MD Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rln888@reneengo.kareodirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050426000346 NV Part B Supplier - Clinic/Group Practice 7719926294 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

199 N Arroyo Grande Blvd
Henderson, NV 89074
Phone (702) 278-3622

2930 Siena Heights Dr
Henderson, NV 89052
Phone (702) 726-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1477675734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778207",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890778207",
            "telephone_number": "702-855-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E SUNSET RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207219",
            "telephone_number": "702-855-0748",
            "fax_number": "702-436-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE LIM NGO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-855-0748",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "10905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TXIX",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rln888@reneengo.kareodirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3680 E Sunset Rd Ste 100",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891207219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Renee Lim Ngo, MD",
            "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 Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.