NPIMap

Individual provider Active NPI

Richard M. Wasserman, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Henderson, NV
National Provider Identifier
1659333615
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
11876 Issued in NV
Practice address
2310 Corporate Cir Ste 200
Henderson, NV 89074-7729
Phone
(702) 735-8000
Fax
(702) 563-2937
NPI assigned
Apr 5, 2006
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD60204443 WA
Urology Physician 208800000X MD60204443 WA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 11876 NV Primary

Addresses

Primary practice location

2310 Corporate Cir Ste 200
Henderson, NV 89074-7729

Mailing address

7500 Smoke Ranch Rd Ste 200
Las Vegas, NV 89128-0373
Phone (702) 233-0727

Other practice location 1

3131 La Canada St
Suite 241
Las Vegas, NV 89169-2578
Phone (702) 693-6870

Other practice location 2

700 Shadow Ln Ste 370
Las Vegas, NV 89106-4159
Phone (702) 693-6870

Other practice location 3

7500 Smoke Ranch Rd Ste 200
Las Vegas, NV 89128-0373
Phone (702) 233-0727

Other identifiers 1

IdentifierTypeStateIssuer
100510112MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20061202000044 NV Practitioner - Obstetrics/GynecologyPractitioner - UrologyPractitioner - Other (Physician) 2860426723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Urology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Vegas Urology LLPGroup PAC ID 5294713335, 51 clinicians

Practice addresses (Care Compare)

2310 Corporate Cir
Suite 200
Henderson, NV 89074-7729
Phone (702) 735-8000

7150 W Sunset Rd
Las Vegas, NV 89113-1982

7500 Smoke Ranch Rd
Suite 200
Las Vegas, NV 89128-0373
Phone (702) 233-0727

7501 Trinity Peak Ave
Las Vegas, NV 89128-9026
Phone (702) 803-8874

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.26 of 100Reported as group
Quality
90.39
Improvement activities
40
Cost
78.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11876NVMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician
MD60204443WAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Cancer Center of Nevada Inc Gynecology CurrentSince Mar 1, 2016 Accepting new patients
Las Vegas Urology LLP Urology CurrentSince Oct 1, 2024 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Lynn Kowalski MD LTD Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Stephanie a Wishnev MD LTD Past Accepting new patients

Locations

2310 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 385-4342

3131 La Canada St
Ste 241
Las Vegas, NV 89169
Phone (702) 693-6870

700 Shadow Ln
Ste 370
Las Vegas, NV 89106
Phone (702) 382-8222

7150 W Sunset Rd
Ste 100
Las Vegas, NV 89113
Phone (702) 341-9000

7500 Smoke Ranch Rd
Ste 200
Las Vegas, NV 89128
Phone (702) 233-0727

7501 Trinity Peak Ave
Las Vegas, NV 89128
Phone (702) 803-8874

Interoperability endpoints

  • Direct secure messaging: richardwasserman@lvu.medalliesdirect.net
  • Direct secure messaging: rwasserman12757@direct.umcsn.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 12

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1659333615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SMOKE RANCH RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280373",
            "telephone_number": "702-233-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 CORPORATE CIR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747729",
            "telephone_number": "702-735-8000",
            "fax_number": "702-563-2937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 La Canada St",
            "address_2": "SUITE 241",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891692578",
            "country_code": "US",
            "telephone_number": "702-693-6870",
            "fax_number": "702-693-6899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Shadow Ln Ste 370",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064159",
            "country_code": "US",
            "telephone_number": "702-693-6870",
            "fax_number": "702-693-6899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Smoke Ranch Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280373",
            "country_code": "US",
            "telephone_number": "702-233-0727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "RICHARD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WA",
            "license": "MD60204443",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD60204443",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NV",
            "license": "11876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510112",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.