Individual provider Active NPI

Maria Corazon Orozco Regalado, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1669420402
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8966 Issued in NV
Practice address
1811 S Rainbow Blvd Ste 108
Las Vegas, NV 89146
Phone
(702) 876-0350
Fax
(702) 847-7437
NPI assigned
May 4, 2006
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8966 NV
Internal Medicine Physician 207R00000X 8966 NV Primary

Addresses

Primary practice location

1811 S Rainbow Blvd Ste 108
Las Vegas, NV 89146

Mailing address

1811 S Rainbow Blvd Ste 108
Las Vegas, NV 89146-0037
Phone (702) 876-0350

Other identifiers 1

IdentifierTypeStateIssuer
002018265MedicaidNV

Other names 1

  • Maria Corazon Regalado Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090211000263 NV Practitioner - Internal Medicine 3173571585 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JD Medical Group LLCGroup PAC ID 2668817750, 8 clinicians
Geiss Med Nevada PCGroup PAC ID 8921400599, 16 clinicians

Practice addresses (Care Compare)

3601 W Sahara Ave
Suite 208
Las Vegas, NV 89102-5821
Phone (702) 570-3624

3753 Howard Hughes Pkwy
Suite 200
Las Vegas, NV 89169-0952
Phone (855) 434-7763

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geiss Med Nevada PC CurrentSince Dec 9, 2024 Accepting new patients
House Call Dr Regalado PLLC Internal Medicine CurrentSince Mar 1, 2013 Accepting new patients
J M Geiss DO Apc CurrentSince Dec 9, 2024 Accepting new patients
Maria Corazon O. Regalado LLC Internal Medicine CurrentSince Mar 1, 2010 Accepting new patients
Anthony L Pollard DO a Professional Corporation Past Accepting new patients
Red Rock Hospice Past Accepting new patients

Locations

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

1321 S Rainbow Blvd
Ste 101
Las Vegas, NV 89146
Phone (702) 476-2287

1811 S Rainbow Blvd
Ste 108
Las Vegas, NV 89146
Phone (702) 858-7087

2470 E Flamingo Rd
Ste D
Las Vegas, NV 89121
Phone (702) 380-2048

3753 Howard Hughes Pkwy
Ste 200
Las Vegas, NV 89169
Phone (702) 919-6580

4580 S Eastern Ave
Ste D31
Las Vegas, NV 89119
Phone (702) 862-8706

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Visiting Nurses of Nevada, Inc.Las Vegas, NV, CCN 297158 Home health agency Operational/Managerial Control Mar 1, 2021
Radiant Hospice of Nevada LLCLas Vegas, NV, CCN 291669 Hospice Contracted Managing Employee (10%) Jun 19, 2020
Guiding Hope Healthcare System IncLas Vegas, NV, CCN 291650 Hospice W-2 Managing Employee Feb 5, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1669420402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 S RAINBOW BLVD STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460037",
            "telephone_number": "702-876-0350",
            "fax_number": "702-847-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 S RAINBOW BLVD STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-876-0350",
            "fax_number": "702-847-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALADO",
        "first_name": "MARIA CORAZON",
        "middle_name": "OROZCO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "8966",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018265",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "REGALADO",
            "middle_name": "CORAZON",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.