Active NPI
Janelle Agosto-Marquez, MD
- Obstetrics & Gynecology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 13320
- Practice address
- 2600 S Decatur Blvd
Las Vegas, NV 89102-8519 - Phone
- (702) 877-5199
- Fax
- (702) 867-7177
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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.
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Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Ponce School of Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Iriye Medical Group PLLC
Practice addresses (Care Compare)
6850 N Durango Dr
Suite 401
Las Vegas, NV 89149-4598
Phone (702) 463-2981
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100107000480 | NV | Practitioner - Obstetrics/Gynecology | 0749351161 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13320 | NV | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, Inc | Current | Accepting new patients | |
| Iriye Medical Group PLLC | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients |
Locations
58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000
6850 N Durango Dr
Ste 401
Las Vegas, NV 89149
Phone (702) 463-2981
650 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-7424
2011 Pinto Ln
Ste 103
Las Vegas, NV 89106
Phone (702) 463-2981
2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200
2011 Pinto Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 463-2981
2600 S Decatur Blvd
Las Vegas, NV 89102
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330
Interoperability endpoints
- janelle.agosto-marquez.1@27017.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 13320 | NV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2600 S Decatur Blvd
Las Vegas, NV 89102-8519
Mailing address
6850 N Durango Dr Ste 401
Las Vegas, NV 89149-4598
Phone (702) 463-2981
Other practice location 1
6850 N Durango Dr Ste 401
Las Vegas, NV 89149-4598
Phone (702) 463-2981
Other practice location 2
2011 Pinto Ln Ste 103
Las Vegas, NV 89106-4005
Phone (702) 463-2981
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP2-0018490 | Other | INSTITUTIONAL PERMIT | |
| 1508068933 | Medicaid | NV | |
| CP678Z | Other | NV | ORIGINAL MEDICARE # |
| P00915402 | Other | NV | RAILROAD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2025.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1508068933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 N DURANGO DR STE 401",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494598",
"telephone_number": "702-463-2981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S DECATUR BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891028519",
"telephone_number": "702-877-5199",
"fax_number": "702-867-7177"
}
],
"practiceLocations": [
{
"address_1": "6850 N Durango Dr Ste 401",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891494598",
"country_code": "US",
"telephone_number": "702-463-2981",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2011 Pinto Ln Ste 103",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891064005",
"country_code": "US",
"telephone_number": "702-463-2981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGOSTO-MARQUEZ",
"first_name": "JANELLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NV",
"license": "13320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTITUTIONAL PERMIT",
"identifier": "BP2-0018490",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508068933",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORIGINAL MEDICARE #",
"identifier": "CP678Z",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00915402",
"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 Feb 26, 2025; 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.