Southwest Medical Associates, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTHWEST MEDICAL ASSOCIATES, INC

Doing business as

Southwest Medical Radiology

Practice address

888 S Rancho Drive
Las Vegas, NV 89106

Phone

(702) 877-8600

Fax

(702) 560-2928

NPI assigned

Oct 13, 2006

Reactivated

Mar 27, 2019

Last updated

Jul 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Emily Castillo

Title

Medical Staff Manager

Phone

(702) 480-2550

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Southwest Medical Radiology Doing business as

Medicare fee-for-service enrollment

Enrolled in NV14 enrollments

Enrollment records 14

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Southwest Medical Associates Inc.

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1174607303

  6103730544

  Same PAC ID
• Southwest Medical Associates, Inc

  dba Southwest Medical Associates - Tenaya

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1043680440

  6103730544

  Same PAC ID
• Southwest Medical Associates, Inc

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1659346005

  6103730544

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southwest Medical Associates, Inc

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1659346005

  O20230824001719, O20230918003002

  Same enrollment

Locations

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Michael Webster Fox, PA-C

  • Physician Assistant
  • Las Vegas, NV
  • NPI 1073008207
  NPD
• Abhimanyu Aggarwal, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1447605704
  NPD
• David Allan Brousseau, MD

  • Body Imaging Physician
  • Los Angeles, CA
  • NPI 1598710857
  NPD
• Corinna Y. Chang, M.D.

  • Diagnostic Radiology Physician
  • Dublin, OH
  • NPI 1770651416
  NPD
• Monique E Fox, MD

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1952433641
  NPD
• Jamie Graddy Giesbrandt, MD

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1700020179
  NPD
• Joshua Kellerman, M.D.

  • Diagnostic Radiology Physician
  • Mount Laurel, NJ
  • NPI 1598906000
  NPD
• Howard B. Kessler, M.D.

  • Diagnostic Radiology Physician
  • Meadowbrook, PA
  • NPI 1477500775
  NPD
• Monik Lala, M.D.

  • Diagnostic Radiology Physician
  • Detroit, MI
  • NPI 1194847038
  NPD
• Monish Merchant, M.D.

  • Vascular & Interventional Radiology Physician
  • Fort Lauderdale, FL
  • NPI 1609187186

  Diagnostic Radiology

  NPD
• Sarah Palestrant, M.D.

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1811156367
  NPD
• Zachary S Redus, MD

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1831325307
  NPD

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1679663447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145645",
            "telephone_number": "702-560-2874",
            "fax_number": "702-560-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S RANCHO DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-877-8600",
            "fax_number": "702-560-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "deactivation_date": "2019-03-04",
        "reactivation_date": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "MEDICAL STAFF MANAGER",
        "authorized_official_telephone_number": "702-480-2550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "31797",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002702006",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00112269",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Medical Radiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Medical Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Medical Associates (Southwest Medical Associates Radiology)
• Southwest Medical Associates Inc (Southwest Medical Medication Services)
• Southwest Medical Associates Inc.
• Southwest Medical Associates, Inc (Southwest Medical Associates - Tenaya)
• Southwest Medical Associates, Inc
• Southwest Medical Associats, Inc
• Southwest Medical Supply, Inc
• Southwest Pharmacy LLC (Southwest Pharmacy)
• Southwest Physician Medical Diagnostic Center
• Southwest Physicians Group LLC

• Diagnostic Radiology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.