NPIMap

Individual provider Active NPI

Jimver Villadoz, DO

  • General Practice Physician
  • Las Vegas, NV
National Provider Identifier
1689305526
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DO3773 Issued in NV
Practice address
700 Shadow LN Ste 400
Las Vegas, NV 89106-4159
Phone
(702) 477-6571
NPI assigned
Jun 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3773 NV
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X DO3773 NV Primary

Addresses

Primary practice location

700 Shadow LN Ste 400
Las Vegas, NV 89106-4159

Mailing address

5960 Balsam Pine Dr
Las Vegas, NV 89142-1671
Phone (702) 336-7968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029001391 NV Practitioner - Family Practice 5799165460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians

Practice addresses (Care Compare)

5597 Spring Mountain Rd
Las Vegas, NV 89146-8865
Phone (725) 240-8880

Hospital & facility affiliations

  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
  • Pam Rehabilitation Hospital of Centennial Hills Inpatient rehabilitation facility, Las Vegas, NV, CCN 293034
  • Encompass Health Rehabilitation Hospital of LV Inpatient rehabilitation facility, Las Vegas, NV, CCN 293026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ming-Wei Wu, Inc CurrentSince Jul 1, 2025 Accepting new patients
Professional Wound Specialists LLC CurrentSince Jul 1, 2025 Accepting new patients
Julie Wu, Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

2995 S Jones Blvd
Ste A
Las Vegas, NV 89146
Phone (702) 227-0005

3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103
Phone (702) 291-8828

5597 Spring Mountain Rd
Las Vegas, NV 89146
Phone (702) 575-4227

5597 Spring Mountain Rd
Ste G
Las Vegas, NV 89146
Phone (702) 419-8394

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1689305526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 BALSAM PINE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891421671",
            "telephone_number": "702-336-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064159",
            "telephone_number": "702-477-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLADOZ",
        "first_name": "JIMVER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO3773",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "DO3773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.