Active NPI
David Joseph Colangione, MD
- Surgery Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 51204
- Practice address
- 3131 La Canada St
Las Vegas, NV 89169-2578 - Phone
- (702) 369-7152
- Fax
- (702) 369-7153
- NPI assigned
- Jul 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LL51204 | SC | |
| Surgery Physician | 208600000X | 51204 | SC | Primary |
Addresses
Primary practice location
3131 La Canada St
Las Vegas, NV 89169-2578
Mailing address
3131 La Canada St
Las Vegas, NV 89169-2578
Phone (702) 369-7152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LL51204 | Other | SC | STATE LIMITED LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NV, AZ, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230707000790 | SC | Practitioner - General Surgery | 1759656325 | Reassigns benefits to 1 organization |
| I20230821000692 | NV | Practitioner - General Surgery | 1759656325 | Reassigns benefits to 1 organization |
| I20240117004765 | AZ | Practitioner - General Surgery | 1759656325 | Reassigns benefits to 1 organization |
| I20250813002972 | CO | Practitioner - General Surgery | 1759656325 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- East Tennessee State University Quillen College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Unlv MedicineKingman Healthcare Inc
Practice addresses (Care Compare)
1707 W Charleston Blvd
Las Vegas, NV 89102-2352
1707 W Charleston Blvd
Suite 160
Las Vegas, NV 89102-2354
Phone (702) 671-5150
2724 N Tenaya Way
FL 2
Las Vegas, NV 89128-0424
Phone (702) 939-8557
3104 N Stockton Hill Rd
Kingman, AZ 86401-4183
Phone (928) 681-8720
Hospital & facility affiliations
- Kingman Regional Medical Center
- Summerlin Hospital Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51204 | SC | MD | Surgery Physician |
| LL51204 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Self Medical Group | Surgery | Current | Accepting new patients |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients | |
| Self Medical Group | Surgery | Current | Accepting new patients |
| Self Medical Group | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients | |
| Self Medical Group | Past | Accepting new patients | |
| Jon S. Williams, PLLC. | Surgery | Past | Accepting new patients |
| Kingman Healthcare, Inc | Family Medicine | Past | Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
3104 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 681-8720
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
1900 Boise Ave
Ste 420
Loveland, CO 80538
Phone (970) 669-3212
1405 S 8th Ave
Ste 101
Sterling, CO 80751
Phone (970) 522-2264
75 Remittance Dr
Dept 6764
Chicago, IL 60675
1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300
1707 W Charleston Blvd
Ste 160
Las Vegas, NV 89102
Phone (702) 671-2201
2724 N Tenaya Way
Fl 2
Las Vegas, NV 89128
Phone (702) 939-8557
3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315
160 Academy Ave
Greenwood, SC 29646
Phone (864) 223-7809
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Interoperability endpoints
- dcolangione262678@selfregional.direct-ci.net
- dcolangione792568@direct.vumc.org
Organizations & group practices 14
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.
-
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1184152274
-
- Community/Retail Pharmacy
- Kingman, AZ
- NPI 1992286298
-
- Multi-Specialty Clinic/Center
- Torrington, WY
- NPI 1215375688
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
- Urgent Care Clinic/Center
- Kingman, AZ
- NPI 1760703805
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
Hospital
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1861234619
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1669993408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 LA CANADA ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891692578",
"telephone_number": "702-369-7152",
"fax_number": "702-369-7153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 LA CANADA ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891692578",
"telephone_number": "702-369-7152",
"fax_number": "702-369-7153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLANGIONE",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-02",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "LL51204",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "51204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIMITED LICENSE",
"identifier": "LL51204",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.