Individual provider Active NPI

David Joseph Colangione, MD

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1669993408
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
51204 Issued in SC
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

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LL51204OtherSCSTATE LIMITED LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NV, AZ, CO4 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 4

Enrollment IDStateProvider typePAC IDDetails
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 MedicineGroup PAC ID 4183991458, 177 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

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 Hospital, Kingman, AZ, CCN 030055
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51204SCMDSurgery Physician
LL51204SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Self Medical Group Surgery Current Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Jul 11, 2025 Accepting new patients
Kingman Healthcare, Inc CurrentSince Dec 1, 2025 Accepting new patients
Kingman Healthcare, Inc CurrentSince Dec 1, 2025 Accepting new patients
Unlv Medicine CurrentSince Jun 12, 2023 Accepting new patients
Self Medical Group Surgery CurrentSince May 30, 2023 Accepting new patients
Self Medical Group CurrentSince May 30, 2023 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Jul 11, 2025 Accepting new patients
Unlv Medicine CurrentSince Jun 12, 2023 Accepting new patients
Self Medical Group PastSince May 7, 2024 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

  • Direct secure messaging: dcolangione262678@selfregional.direct-ci.net
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.