Individual provider Active NPI

David Rolland Coggeshall, M.D.

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1679510945
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10463 Issued in NV
Practice address
9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253
Phone
(702) 878-0070
Fax
(702) 209-2064
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 10463 NV Primary

Addresses

Primary practice location

9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253

Mailing address

9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253
Phone (702) 878-0070

Other identifiers 1

IdentifierTypeStateIssuer
1679510945MedicaidNV

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
I20120127000932 NV Practitioner - Anesthesiology 1153490917 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.25 of 100Reported as group
Quality
74.41
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10463NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Tahoe Anesthesia Weaver PC Anesthesiology CurrentSince Dec 15, 2022 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology CurrentSince Feb 2, 2020 Accepting new patients
Fielden Hanson Isaacs Miyada Robison Yeh LTD Anesthesiology CurrentSince Feb 1, 2017 Accepting new patients
Metcalf, Tiller & Chen, Inc. Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients

Locations

1801 W Olympic Blvd
#2152
Pasadena, CA 91199

3475 Gs Richards Blvd
#110
Carson City, NV 89703
Phone (775) 841-2000

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

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

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

18653 Wedge Pkwy
Ste 170
Reno, NV 89511
Phone (775) 674-5200

2321 Pyramid Way
Ste B
Sparks, NV 89431
Phone (775) 331-1919

Organizations & group practices 5

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1679510945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481253",
            "telephone_number": "702-878-0070",
            "fax_number": "702-209-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9127 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481253",
            "telephone_number": "702-878-0070",
            "fax_number": "702-209-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGESHALL",
        "first_name": "DAVID",
        "middle_name": "ROLLAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "10463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679510945",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.