Individual provider Active NPI

Ronald Joseph Knoblock, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Las Vegas, NV
National Provider Identifier
1669413084
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
10511 Issued in NV
Practice address
7455 W Washington Ave Ste 301
Las Vegas, NV 89128
Phone
(877) 562-5227
Fax
(702) 938-9954
NPI assigned
Jun 9, 2006
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Pathology Physician 207ZF0201X 10511 NV
Hematology (Pathology) Physician 207ZH0000X 10511 NV
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 10511 NV Primary

Addresses

Primary practice location

7455 W Washington Ave Ste 301
Las Vegas, NV 89128

Mailing address

11025 Rca Center Dr Ste 300
Palm Beach Gardens, FL 33410-4269
Phone (561) 383-3820

Other practice location 1

3059 S Maryland Pkwy Ste 100
Las Vegas, NV 89109-6209
Phone (702) 732-3441

Other identifiers 1

IdentifierTypeStateIssuer
100511109MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061005000013 NV Practitioner - Pathology 1456357003 Reassigns benefits to 1 organization
I20080609000195 AZ Practitioner - Pathology 1456357003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Nevada School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laboratory Medicine Consultants LTDGroup PAC ID 4183617533, shared by 2 NPIs, 26 clinicians

Practice addresses (Care Compare)

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 255-5000

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8000

6900 N Durango Dr
Las Vegas, NV 89149-4409
Phone (702) 835-9700

7455 W Washington Ave
Suite 301
Las Vegas, NV 89128-4340

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Medicine Consultants LTD Hematology CurrentSince Jul 1, 2006 Accepting new patients
Laboratory Medicine Consultants LTD CurrentSince Dec 1, 2007 Accepting new patients

Locations

2500 Canyon Rd
Ste D1
Bullhead City, AZ 86442
Phone (602) 698-5800

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

File 749203
Los Angeles, CA 90074

11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 732-3441

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

7455 W Washington Ave
Ste 301
Las Vegas, NV 89128
Phone (702) 732-3441

1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270

Interoperability endpoints

  • Direct secure messaging: rknoblock7261@direct.umcsn.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1669413084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 RCA CENTER DR STE 300",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104269",
            "telephone_number": "561-383-3820",
            "fax_number": "855-369-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "877-562-5227",
            "fax_number": "702-938-9954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3059 S Maryland Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891096209",
            "country_code": "US",
            "telephone_number": "702-732-3441",
            "fax_number": "702-732-2310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOBLOCK",
        "first_name": "RONALD",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "NV",
            "license": "10511",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NV",
            "license": "10511",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "10511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511109",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.