Active NPI
Marc Pomerantz, M.D.
- Diagnostic Radiology Physician
- Las Vegas, NV
National Provider Identifier
1609829787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5362
- Practice address
- 2555 Montessouri St
Suite C
Las Vegas, NV 89117-3057 - Phone
- (702) 477-0772
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5362 | NV | Primary |
Addresses
Primary practice location
2555 Montessouri St
Suite C
Las Vegas, NV 89117-3057
Mailing address
Dept la 21686
Pasadena, CA 91185-1686
Phone (702) 477-0772
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153081 | Other | NV | WC |
| 153093 | Other | NV | WC |
| NV4883 | Other | NV | BCBS |
| NV1944 | Other | NV | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo Medical Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| J Paul Wiesner & Associates Chartered | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1487606026
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1952353591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1609829787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT LA 21686",
"city": "PASADENA",
"state": "CA",
"postal_code": "911851686",
"telephone_number": "702-477-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 MONTESSOURI ST",
"address_2": "SUITE C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891173057",
"telephone_number": "702-477-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMERANTZ",
"first_name": "MARC",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NV",
"license": "5362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WC",
"identifier": "153081",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WC",
"identifier": "153093",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NV4883",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NV1944",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.