Individual provider Active NPI

Milish Risbood, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1700092160
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16758 Issued in NV
Practice address
2601 N Tenaya Way
Las Vegas, NV 89128-0427
Phone
(513) 814-3346
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101261991 VA
Internal Medicine Physician 207R00000X 35-093307 OH
Internal Medicine Physician 207R00000X DR.0059742 CO
Internal Medicine Physician 207R00000X 16758 NV Primary

Addresses

Primary practice location

2601 N Tenaya Way
Las Vegas, NV 89128-0427

Mailing address

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329

Other practice location 1

1531 Market St
Denver, CO 80202-1607
Phone (562) 622-2800

Other practice location 2

700 N Broadway
Denver, CO 80203-3421
Phone (562) 622-2800

Other practice location 3

4452 Eastgate Blvd Ste 202
Cincinnati, OH 45245-1584
Phone (513) 745-0052

Other identifiers 1

IdentifierTypeStateIssuer
2946450MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16758NVMDInternal Medicine Physician
35-093307OHMDInternal Medicine Physician
0101261991VAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1700092160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280427",
            "telephone_number": "513-814-3346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1531 Market St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802021607",
            "country_code": "US",
            "telephone_number": "562-622-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802033421",
            "country_code": "US",
            "telephone_number": "562-622-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4452 Eastgate Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452451584",
            "country_code": "US",
            "telephone_number": "513-745-0052",
            "fax_number": "513-745-9049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISBOOD",
        "first_name": "MILISH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101261991",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-093307",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0059742",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "16758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2946450",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.