NPIMap

Individual provider Active NPI

Clark Choi, MD

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1548585409
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
15913 Issued in NV
Practice address
2700 Sunset Rd
B18
Las Vegas, NV 89120-3141
Phone
(702) 487-6510
Fax
(702) 405-7960
NPI assigned
Apr 5, 2010
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 15913 NV Primary

Addresses

Primary practice location

2700 Sunset Rd
B18
Las Vegas, NV 89120-3141

Mailing address

PO Box 93358
Las Vegas, NV 89193-3358
Phone (702) 487-6510

Other identifiers 1

IdentifierTypeStateIssuer
15913MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NV2 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
I20140725000764 NJ Practitioner - Anesthesiology 2961628037 Reassigns benefits to 1 organization
I20150818005346 NV Practitioner - Anesthesiology 2961628037 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Bell MD PCGroup PAC ID 9436633864, 26 clinicians
Bell MD PCGroup PAC ID 0143757385, 13 clinicians
Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians

Practice addresses (Care Compare)

1050 W Galleria Dr
Henderson, NV 89011-4800
Phone (702) 963-7000

1155 Raiders Way
Henderson, NV 89052-4670
Phone (702) 369-7671

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15913NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C CurrentSince Aug 1, 2020 Accepting new patients
Amin, Dunckelmeyer and Luu PLLC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 1, 2020 Accepting new patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince Dec 20, 2022 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jul 1, 2014 Accepting new patients
Optum Medical Group Rhodes P C Anesthesiology Current Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Nov 7, 2017 Accepting new patients
Zen Anesthesia, LLC Anesthesiology CurrentSince Sep 1, 2015 Accepting new patients
William Azzoli MD Anesthesiology PastSince Sep 1, 2019 Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

100 N Green Valley Pkwy
Ste 125
Henderson, NV 89074
Phone (702) 294-1230

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

1330 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 675-4600

2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660

3087 E Warm Springs Rd
Ste 400
Las Vegas, NV 89120
Phone (702) 985-3216

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

1409 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 649-7711

150 S Nevada Highway 160
Ste 8199
Pahrump, NV 89048
Phone (917) 903-0010

Interoperability endpoints

  • Direct secure messaging: cchoi13193@direct.umcsn.com

Organizations & group practices 12

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 9

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1548585409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93358",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891933358",
            "telephone_number": "702-487-6510",
            "fax_number": "702-405-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SUNSET RD",
            "address_2": "B18",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203141",
            "telephone_number": "702-487-6510",
            "fax_number": "702-405-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "15913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15913",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.