Digestive Disease Center-Green Valley

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

2000772.650 Issued in NV

Legal business name

DIGESTIVE DISEASE CENTER-GREEN VALLEY

Practice address

1647 E Windmill LN Ste 110
Las Vegas, NV 89123-1908

Phone

(702) 628-5830

Fax

(702) 270-8984

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

Cynthia J Reyes

Title

Practice Manager

Phone

(702) 760-7292

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

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

• Digestive Disease Center

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1942318498

  O20090916000518

  Same enrollment

Listed as

Digestive Disease Center Green ValleyCCN 29C0001057

Medicare certification status

ActiveFrom the Provider of Services file

Listed as

Digestive Disease Center Green ValleyCCN 29C0001077

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael S. Zimmerman, M.D.

  • Specialist
  • Las Vegas, NV
  • NPI 1871601302

  Gastroenterology

  NPD
• Ghulam Mujtaba, MD.

  • Gastroenterology Physician
  • Newark, OH
  • NPI 1821277187
  NPD
• Gener Cruz

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1811612310
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1679706790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 WINDMILL PKWY",
            "address_2": "PMB 347",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743384",
            "telephone_number": "702-628-5230",
            "fax_number": "702-270-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 E WINDMILL LN STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231908",
            "telephone_number": "702-628-5830",
            "fax_number": "702-270-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE CENTER-GREEN VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "702-760-7292"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "2000772.650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Digal
• Gamaliel Digan
• Shanita Digby
• Digestive Disease Center
• Digestive Disease Center
• Marvin Diggins
• Nekenzie Diggles
• Robert Glenn Diggs-Newsome
• Brittany L Diggs
• Georgette Diggs

• Ambulatory Surgical Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.