NPIMap

Individual provider Active NPI

Richard Ray Remark, M.D.

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1649222365
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5500 Issued in NV
Practice address
9020 Emerald Hill Way
Las Vegas, NV 89117-5740
Phone
(702) 252-7245
Fax
(702) 363-8636
NPI assigned
May 17, 2006
Last updated
Aug 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5500 NV Primary

Addresses

Primary practice location

9020 Emerald Hill Way
Las Vegas, NV 89117-5740

Mailing address

9020 Emerald Hill Way
Las Vegas, NV 89117-5740
Phone (702) 480-8877

Other identifiers 1

IdentifierTypeStateIssuer
200290104MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101013001219 IA Practitioner - Diagnostic Radiology 5395739593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winneshiek Medical CenterGroup PAC ID 4688582935, shared by 9 NPIs, 99 clinicians

Practice addresses (Care Compare)

112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3811

901 Montgomery St
Decorah, IA 52101-2325
Phone (563) 382-2911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5500NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Winneshiek Medical Center CurrentSince Aug 11, 2010 Accepting new patients
Winneshiek Medical Center Current Accepting new patients
Winneshiek Medical Center CurrentSince Aug 11, 2010 Accepting new patients
J Paul Wiesner & Associates Chartered Diagnostic Radiology PastSince Nov 3, 2019 Accepting new patients
Pueblo Medical Imaging, LLC Diagnostic Radiology PastSince Dec 16, 1998 Accepting new patients

Locations

901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

Interoperability endpoints

  • Direct secure messaging: rremark111992@uihcdirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1649222365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 EMERALD HILL WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175740",
            "telephone_number": "702-480-8877",
            "fax_number": "702-363-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 EMERALD HILL WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175740",
            "telephone_number": "702-252-7245",
            "fax_number": "702-363-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMARK",
        "first_name": "RICHARD",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "5500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200290104",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.