NPIMap

Individual provider Active NPI

Dustin Lamar Boyer, M.D.

  • Radiation Oncology Physician
  • Las Vegas, NV
National Provider Identifier
1538142591
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
18784 Issued in NV
Practice address
3006 S Maryland Pkwy Ste 100
Las Vegas, NV 89109-2219
Phone
(702) 894-5100
NPI assigned
Nov 23, 2005
Last updated
May 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X L9634 TX
Radiation Oncology Physician 2085R0001X 18784 NV Primary

Addresses

Primary practice location

3006 S Maryland Pkwy Ste 100
Las Vegas, NV 89109-2219

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7342

Other practice location 1

3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
Phone (210) 916-2460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626001262 NV Practitioner - Radiation Oncology 2860529591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susan Reisinger MD Prof CorpGroup PAC ID 2163464595, 3 clinicians

Practice addresses (Care Compare)

3006 S Maryland Pkwy
Suite 100
Las Vegas, NV 89109-2219
Phone (702) 894-5100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18784NVMDRadiation Oncology Physician
L9634TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Reisinger, MD Prof. Corp. Radiation Oncology CurrentSince Jul 1, 2019 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Oklahoma Oncology & Hematology PC Radiation Oncology Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients

Locations

2160 Colonial Blvd
Fort Myers, FL 33907

52 N Pecos Rd
Henderson, NV 89074
Phone (702) 990-4761

2851 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 243-3340

3006 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 735-0006

6160 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 730-5480

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1538142591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 S MARYLAND PKWY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092219",
            "telephone_number": "702-894-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344501",
            "country_code": "US",
            "telephone_number": "210-916-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "DUSTIN",
        "middle_name": "LAMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "L9634",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NV",
            "license": "18784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.