NPIMap

Individual provider Active NPI

Russell Patrick Gollard, M.D.

  • Hematology & Oncology Physician
  • Henderson, NV
National Provider Identifier
1699772210
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
7818 Issued in NV
Practice address
3175 Saint Rose Pkwy FL 2
Henderson, NV 89052-3506
Phone
(702) 724-8787
Fax
(702) 878-3078
NPI assigned
Jun 29, 2005
Last updated
May 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 7818 NV Primary

Addresses

Primary practice location

3175 Saint Rose Pkwy FL 2
Henderson, NV 89052-3506

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other identifiers 3

IdentifierTypeStateIssuer
121745MedicaidAZ
830006195OtherNVRAILROAD MEDICARE
002019902MedicaidNV

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
I20091216000348 NV Practitioner - Hematology/Oncology 5395770036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Southern California Keck School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Group Rhodes P CGroup PAC ID 1052390036, 53 clinicians

Practice addresses (Care Compare)

6190 S Fort Apache Rd
Las Vegas, NV 89148-6702
Phone (702) 724-8787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.7 of 100Reported as group
Quality
82.63
Promoting interoperability
100
Improvement activities
40
Cost
83.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7818NVMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C CurrentSince Sep 1, 2016 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Sep 1, 2016 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

3175 Saint Rose Pkwy
Fl 2
Henderson, NV 89052
Phone (702) 724-8787

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

6190 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 485-5885

Interoperability endpoints

  • Direct secure messaging: rgollard118012@westdirect.optum.com
  • Direct secure messaging: rgollard51130@direct.umcsn.com
  • Direct secure messaging: russell.gollard.p4@direct.uson.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1699772210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 SAINT ROSE PKWY FL 2",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523506",
            "telephone_number": "702-724-8787",
            "fax_number": "702-878-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLARD",
        "first_name": "RUSSELL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NV",
            "license": "7818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121745",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830006195",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019902",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.