NPIMap

Individual provider Active NPI

Tal Aaron Minuskin, MD

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1508062506
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
15337 Issued in NV
Practice address
851 S Rampart Blvd Ste 130
Las Vegas, NV 89145-4884
Phone
(702) 823-1333
Fax
(702) 823-1190
NPI assigned
Jun 26, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 46719 TN
Pediatrics Physician 208000000X 15337 NV Primary

Addresses

Primary practice location

851 S Rampart Blvd Ste 130
Las Vegas, NV 89145-4884

Mailing address

851 S Rampart Blvd Ste 130
Las Vegas, NV 89145-4884
Phone (702) 823-1333

Other identifiers 1

IdentifierTypeStateIssuer
100537177MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15337NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kiddies Pal LLC Pediatrics CurrentSince Jul 24, 2022 Accepting new patients
Vanderbilt Univ. Medical Center Past Accepting new patients
Door County Memorial Hospital Past Accepting new patients
Ohiohealth Berger Hospital LLC Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Centennial Pediatrics PC Pediatrics PastSince Oct 1, 2012 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Florida Hospital Ocala Inc Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

851 S Rampart Blvd
Ste 130
Las Vegas, NV 89145
Phone (702) 823-1333

Organizations & group practices 9

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508062506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S RAMPART BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454884",
            "telephone_number": "702-823-1333",
            "fax_number": "702-823-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S RAMPART BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454884",
            "telephone_number": "702-823-1333",
            "fax_number": "702-823-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINUSKIN",
        "first_name": "TAL",
        "middle_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "46719",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "15337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100537177",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.