Waldo C. Feng, M.D.

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

NV10623 Issued in NV

Practice address

3131 La Canada St Ste 205
Las Vegas, NV 89169-2578

Phone

(702) 916-1996

Fax

(702) 916-1997

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: wfeng13133@direct.umcsn.com

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.

• Childrens Urology Associates, LLC

  • Pediatric Urology Physician
  • Las Vegas, NV
  • NPI 1134324668
  Medicare reassignment
• Seattle Children'S Hospital

  • Children's Hospital
  • Seattle, WA
  • NPI 1467536276

  Specialist

  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639169774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WADE HAMPTON TRL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526635",
            "telephone_number": "702-916-1996",
            "fax_number": "702-916-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692578",
            "telephone_number": "702-916-1996",
            "fax_number": "702-916-1997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6670 S. Tenaya Way Suite 180",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89113",
            "country_code": "US",
            "telephone_number": "702-369-4999",
            "fax_number": "702-369-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENG",
        "first_name": "WALDO",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "10623",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "NV",
            "license": "NV10623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500681",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duqiao Feng, DMD
• Huiyan Feng
• Jeffrey J Feng, MD
• Jie Hua Feng
• Sammy Feng, PA-C
• Yi Wen Feng
• Zhiqi Feng, DO
• Deborah Lynn Fenimore
• Fenn Holden Welch DDS Ms LTD
• Jeffrey M Fenn, MD

• Pediatric Urology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Urology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.