Individual provider Active NPI

William Robert Maranon, M.D.

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1669583233
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7873 Issued in NV
Practice address
1040 S. Rainbow Blvd
Ste 101
Las Vegas, NV 89145-6247
Phone
(702) 889-9129
Fax
(702) 562-5069
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7873 NV Primary

Addresses

Primary practice location

1040 S. Rainbow Blvd
Ste 101
Las Vegas, NV 89145-6247

Mailing address

1040 S. Rainbow Blvd
Ste 101
Las Vegas, NV 89145-6247
Phone (702) 889-9129

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
I20070308000024 NV Practitioner - General Surgery 4385747559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, San Diego School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Biocell LLCGroup PAC ID 9638608177, 2 clinicians

Practice addresses (Care Compare)

2110 E Flamingo Rd
Las Vegas, NV 89119-5190
Phone (702) 988-1212

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

State licenses

LicenseStateTypeSpecialty
7873NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Valley Medical Center Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1669583233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S. RAINBOW BLVD",
            "address_2": "STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456247",
            "telephone_number": "702-889-9129",
            "fax_number": "702-562-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S. RAINBOW BLVD",
            "address_2": "STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456247",
            "telephone_number": "702-889-9129",
            "fax_number": "702-562-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANON",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "7873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.