Individual provider Active NPI

Justo Sataray, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1689619983
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11238 Issued in NV
Practice address
216 N Lamb Blvd
Las Vegas, NV 89110
Phone
(702) 459-2401
Fax
(702) 459-2405
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11238 NV Primary

Addresses

Primary practice location

216 N Lamb Blvd
Las Vegas, NV 89110

Mailing address

216 N Lamb Blvd
Las Vegas, NV 89110-4674
Phone (702) 459-2401

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
I20051102000303 NV Practitioner - Family Practice 2062402670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Medica del PuebloGroup PAC ID 2264431527, 3 clinicians

Practice addresses (Care Compare)

216 N Lamb Blvd
Las Vegas, NV 89110-4674
Phone (702) 459-2401

Hospital & facility affiliations

  • Onecare Home Health Care Home health agency, Las Vegas, NV, CCN 297372
  • North Vista Hospital Hospital, North Las Vegas, NV, CCN 290005

Merit-based Incentive Payment System (MIPS)

Final score
39 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
86.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11238NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Medica del Pueblo Family Medicine CurrentSince Aug 1, 2006 Accepting new patients
Lake Mead Emergency Physicians, LLC Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients

Locations

5715 W Alexander Rd
Ste 115
Las Vegas, NV 89130
Phone (702) 757-8720

2832 E Lake Mead Blvd
Ste E
North Las Vegas, NV 89030
Phone (702) 476-9600

1409 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 649-7711

Interoperability endpoints

  • Direct secure messaging: justo.sataray@cmdp-nv.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 2

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1689619983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N LAMB BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104674",
            "telephone_number": "702-459-2401",
            "fax_number": "702-459-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N LAMB BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89110",
            "telephone_number": "702-459-2401",
            "fax_number": "702-459-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATARAY",
        "first_name": "JUSTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-09-12",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.