NPIMap

Individual provider Active NPI

Chanwit Roongsritong, M.D.

  • Interventional Cardiology Physician
  • Sparks, NV
National Provider Identifier
1518956804
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
12355 Issued in NV
Practice address
2385 E Prater Way Ste 302
Sparks, NV 89434-9638
Phone
(775) 356-4514
Fax
(775) 356-4991
NPI assigned
Oct 19, 2005
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X J0232 TX
Cardiovascular Disease Physician 207RC0000X 12355 NV
Interventional Cardiology Physician 207RI0011X 12355 NV Primary
Interventional Cardiology Physician 207RI0011X J0232 TX

Addresses

Primary practice location

2385 E Prater Way Ste 302
Sparks, NV 89434-9638

Mailing address

2385 E Prater Way Ste 302
Sparks, NV 89434-9638
Phone (775) 356-4514

Other identifiers 2

IdentifierTypeStateIssuer
NV1939OtherNVBLUE CROSS BLUE SHIELD
1518956804MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070824000325 NV Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325130115 Reassigns benefits to 1 organization
I20080204000350 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8325130115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Nevada Medical Group LLCGroup PAC ID 7214093020, 83 clinicians
El Paso County Hospital DistrictGroup PAC ID 2365431509, 208 clinicians

Practice addresses (Care Compare)

2385 E Prater Way
Suite 302
Sparks, NV 89434-9638
Phone (775) 356-4514

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5400

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
90.22
Promoting interoperability
95
Improvement activities
40
Cost
75.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0232TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Hospital District CurrentSince Jul 1, 2022 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jul 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jul 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center El Paso Cardiovascular Disease Current Accepting new patients
El Paso County Hospital District CurrentSince Jul 1, 2022 Accepting new patients
Northern Nevada Medical Group, LLC Cardiovascular Disease CurrentSince Nov 17, 2025 Accepting new patients

Locations

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

2385 E Prater Way
Ste 205
Sparks, NV 89434
Phone (775) 356-4888

2385 E Prater Way
Ste 302
Sparks, NV 89434
Phone (775) 356-4514

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1518956804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 E PRATER WAY STE 302",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349638",
            "telephone_number": "775-356-4514",
            "fax_number": "775-356-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 E PRATER WAY STE 302",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349638",
            "telephone_number": "775-356-4514",
            "fax_number": "775-356-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROONGSRITONG",
        "first_name": "CHANWIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J0232",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "12355",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "12355",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "J0232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NV1939",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518956804",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.