Active NPI
Milish Risbood, M.D.
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1700092160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 16758
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2946450 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16758 | NV | MD | Internal Medicine Physician |
| 35-093307 | OH | MD | Internal Medicine Physician |
| 0101261991 | VA | MD | Internal 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.