Individual provider Active NPI

Zachary Bodnar, MD

  • Retina Specialist (Ophthalmology) Physician
  • Henderson, NV
National Provider Identifier
1609130772
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
18780 Issued in NV
Practice address
2749 Sunridge Heights Pkwy
Henderson, NV 89052-5044
Phone
(702) 358-0472
Fax
(702) 425-9955
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 18780 NV Primary

Addresses

Primary practice location

2749 Sunridge Heights Pkwy
Henderson, NV 89052-5044

Mailing address

5295 S Durango Dr
Ste 102
Las Vegas, NV 89113-0188

Other practice location 1

7106 Smoke Ranch Rd Ste 120
Las Vegas, NV 89128-8346
Phone (702) 358-0472

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
I20190610001380 NV Practitioner - Ophthalmology 2466755509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Geisel School of Medicine at Dartmouth, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Healthcare LLCGroup PAC ID 9638468739, 19 clinicians

Practice addresses (Care Compare)

2749 Sunridge Heights Pkwy
Henderson, NV 89052-5044
Phone (702) 358-0472

5556 S Fort Apache Rd
Las Vegas, NV 89148-7696
Phone (702) 358-0472

7106 Smoke Ranch Rd
Suite 120
Las Vegas, NV 89128-8346
Phone (702) 358-0472

Hospital & facility affiliations

  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as group
Quality
86.9
Improvement activities
40
Cost
77.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18780NVMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Healthcare LLC Retina Specialist CurrentSince May 15, 2019 Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients
Curry PLLC PastSince Apr 1, 2020 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

2749 Sunridge Heights Pkwy
Henderson, NV 89052
Phone (702) 568-0686

3037 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 216-7496

1820 E Desert Inn Rd
Las Vegas, NV 89169
Phone (702) 732-2398

8535 Edna Ave
Las Vegas, NV 89117

5295 S Durango Dr
Ste 102
Las Vegas, NV 89113

7106 Smoke Ranch Rd
Ste 120
Las Vegas, NV 89128
Phone (702) 565-4917

5556 S Fort Apache Rd
Las Vegas, NV 89148

5115 Camino Al Norte
North Las Vegas, NV 89031

2120 E Calvada Blvd
Pahrump, NV 89048
Phone (775) 727-8300

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 3

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1609130772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 S DURANGO DR",
            "address_2": "STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 SUNRIDGE HEIGHTS PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525044",
            "telephone_number": "702-358-0472",
            "fax_number": "702-425-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7106 Smoke Ranch Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891288346",
            "country_code": "US",
            "telephone_number": "702-358-0472",
            "fax_number": "702-425-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "ZACHARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NV",
            "license": "18780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.