Individual provider Active NPI

Ryon Eugene Parker, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1609001759
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14781 Issued in NV
Practice address
5380 S Rainbow Blvd Ste 236
Las Vegas, NV 89118-1879
Phone
(702) 778-2204
Fax
(702) 688-4371
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 14781 NV
Internal Medicine Physician 207R00000X 14781 NV Primary

Addresses

Primary practice location

5380 S Rainbow Blvd Ste 236
Las Vegas, NV 89118-1879

Mailing address

5380 S Rainbow Blvd Ste 236
Las Vegas, NV 89118-1879
Phone (702) 778-2204

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
I20131206000246 NV Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2163659723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parker Medical PLLCGroup PAC ID 4789958802, 3 clinicians

Practice addresses (Care Compare)

5380 S Rainbow Blvd
Suite 236
Las Vegas, NV 89118-1879
Phone (702) 778-2204

Hospital & facility affiliations

  • Lorian Health Home health agency, Las Vegas, NV, CCN 297099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Medical PLLC Internal Medicine CurrentSince Jul 12, 2017 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

5380 S Rainbow Blvd
Ste 228
Las Vegas, NV 89118
Phone (702) 222-3478

5380 S Rainbow Blvd
Ste 236
Las Vegas, NV 89118
Phone (702) 778-2204

Interoperability endpoints

  • Direct secure messaging: ryon.parker@42155926749188.direct.elationemr.com

Organizations & group practices 3

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1609001759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 236",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181879",
            "telephone_number": "702-778-2204",
            "fax_number": "702-688-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 236",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181879",
            "telephone_number": "702-778-2204",
            "fax_number": "702-688-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RYON",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "14781",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "14781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.