Ralph M Nietrzeba, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

4554 Issued in NV

Practice address

9280 W Sunset Rd Ste 312
Las Vegas, NV 89148-4862

Phone

(702) 737-5864

Fax

(702) 737-6885

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1639128705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N STEPHANIE ST STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146692",
            "telephone_number": "702-952-3350",
            "fax_number": "702-952-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD STE 312",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484862",
            "telephone_number": "702-737-5864",
            "fax_number": "702-737-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETRZEBA",
        "first_name": "RALPH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "4554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002875",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donnika A Nieto
• Erika Nieto, DMD
• Geancarlo Nieto
• Kaline Oliveira Alledi Nieto
• Michelle Leanne Nieto, RD, LD
• Jeffrey Nieva
• Adrialys Caridad Nieves Esquivel
• Kenia Nieves Prado
• Leyra Nieves Serpa
• Yscara Yanerki Nieves Valle

• Pulmonary Disease Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pulmonary Disease Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.