Individual provider Active NPI

Janelle Agosto-Marquez, MD

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1508068933
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13320 Issued in NV
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.

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 61 clinicians

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
13320NVMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc CurrentSince Nov 23, 2009 Accepting new patients
Iriye Medical Group PLLC CurrentSince Feb 1, 2025 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Jun 11, 2019 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 11, 2019 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Oct 1, 2017 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Oct 1, 2017 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

  • Direct secure messaging: janelle.agosto-marquez.1@27017.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13320 NV Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
BP2-0018490OtherINSTITUTIONAL PERMIT
1508068933MedicaidNV
CP678ZOtherNVORIGINAL MEDICARE #
P00915402OtherNVRAILROAD

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

Verify at the official NPI Registry.