Individual provider Active NPI

Michael L. Pernula, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1598064909
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
15879 Issued in NV
Practice address
5871 W. Craig Rd.
Las Vegas, NV 89130-2575
Phone
(702) 724-2020
Fax
(702) 724-2800
NPI assigned
Mar 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15879 NV Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5871 W. Craig Rd.
Las Vegas, NV 89130-2575

Mailing address

5840 W. Craig Rd.
Ste. 120 PMB# 254
Las Vegas, NV 89130-2562
Phone (702) 724-2020

Other identifiers 1

IdentifierTypeStateIssuer
1598064909MedicaidNV

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
I20150826002316 NV Practitioner - Ophthalmology 9436465192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sight Eva I Liang MD PCGroup PAC ID 0840443180, 15 clinicians

Practice addresses (Care Compare)

5871 W Craig Rd
Las Vegas, NV 89130-2575
Phone (702) 724-2020

Merit-based Incentive Payment System (MIPS)

Final score
94.54 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery129

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sight Eva I Liang MD PC Ophthalmology CurrentSince Jul 15, 2015 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

871 Coronado Center Dr
Ste 130
Henderson, NV 89052
Phone (702) 724-2020

2870 S Maryland Pkwy
Ste 300
Las Vegas, NV 89109
Phone (702) 702-2002

7425 Peak Dr
#120
Las Vegas, NV 89128

5840 W Craig Rd
Ste 120
Las Vegas, NV 89130
Phone (702) 468-6688

330 S Rampart Blvd
Ste 360
Las Vegas, NV 89145
Phone (702) 724-2020

5871 W Craig Rd
Las Vegas, NV 89130
Phone (702) 724-2020

1430 E Calvada Blvd
Ste 600
Pahrump, NV 89048
Phone (775) 375-5995

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1598064909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 W. CRAIG RD.",
            "address_2": "STE. 120 PMB# 254",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302562",
            "telephone_number": "702-724-2020",
            "fax_number": "702-724-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5871 W. CRAIG RD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302575",
            "telephone_number": "702-724-2020",
            "fax_number": "702-724-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNULA",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "15879",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598064909",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.