Individual provider Active NPI

Marc R Leduc, M.D.

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1578767216
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17186 Issued in NV
Practice address
3802 Meadows LN
Las Vegas, NV 89107-3112
Phone
(702) 313-8446
Fax
(702) 221-8446
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 248588 MA
Surgery Physician 208600000X 17186 NV Primary

Addresses

Primary practice location

3802 Meadows LN
Las Vegas, NV 89107-3112

Mailing address

2345 E. Prater Way, Suite 207
Sparks, NV 89434
Phone (775) 356-9393

Other identifiers 1

IdentifierTypeStateIssuer
1578767216MedicaidNV

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712003808 NV Practitioner - General Surgery 0840426524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tufts University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Springs Medical Group-Atkinson PCGroup PAC ID 5193988863, 6 clinicians

Practice addresses (Care Compare)

3802 Meadows LN
Las Vegas, NV 89107-3112
Phone (702) 313-8446

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248588MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Desert Springs, Inc. Surgery CurrentSince Sep 5, 2017 Accepting new patients
West Henderson Hospital Medical Center LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

2850 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 313-8446

3802 Meadows Ln
Las Vegas, NV 89107
Phone (702) 313-8446

2345 E Prater Way
Ste 207
Sparks, NV 89434
Phone (775) 352-5301

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578767216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E. PRATER WAY, SUITE 207",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89434",
            "telephone_number": "775-356-9393",
            "fax_number": "775-356-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 MEADOWS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073112",
            "telephone_number": "702-313-8446",
            "fax_number": "702-221-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDUC",
        "first_name": "MARC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "248588",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "17186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578767216",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.