Individual provider Active NPI

Teresa T Charniga, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1609805373
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6002 Issued in NV
Practice address
3320 N Buffalo Dr Ste 106
Las Vegas, NV 89129-7410
Phone
(702) 425-2792
Fax
(702) 869-6199
NPI assigned
Jul 3, 2006
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6002 NV Primary

Addresses

Primary practice location

3320 N Buffalo Dr Ste 106
Las Vegas, NV 89129-7410

Mailing address

3320 N Buffalo Dr Ste 106
Las Vegas, NV 89129-7410
Phone (702) 698-6190

Other identifiers 1

IdentifierTypeStateIssuer
39194MedicaidNV

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
I20040204001009 NV Practitioner - Family Practice 6002709912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6002NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danka K Michaels M D Prof Corp CurrentSince Apr 16, 2018 Accepting new patients
Rapid-Care Medical Clinic, LLC. Family Medicine CurrentSince Aug 29, 2018 Accepting new patients
Wellhealth Medical Group, PC Past Accepting new patients
Red Rock Pain Specialists, LLC PastSince Apr 16, 2018 Accepting new patients

Locations

3320 N Buffalo Dr
Ste 106
Las Vegas, NV 89129
Phone (702) 869-6190

916 W Owens Ave
Ste B
Las Vegas, NV 89106
Phone (702) 425-2792

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1609805373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N BUFFALO DR STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297410",
            "telephone_number": "702-698-6190",
            "fax_number": "702-869-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N BUFFALO DR STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297410",
            "telephone_number": "702-425-2792",
            "fax_number": "702-869-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNIGA",
        "first_name": "TERESA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "6002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39194",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.