Individual provider Active NPI

Andrew H Hwang, M.D.

  • Pediatric Urology Physician
  • Las Vegas, NV
National Provider Identifier
1730142753
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
11801 Issued in NV
Practice address
653 N Town Center Dr
Suite 407
Las Vegas, NV 89144-0514
Phone
(702) 728-5686
Fax
(702) 628-9030
NPI assigned
Apr 10, 2006
Last updated
Feb 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 11801 NV Primary
Urology Physician 208800000X 11801 NV

Addresses

Primary practice location

653 N Town Center Dr
Suite 407
Las Vegas, NV 89144-0514

Mailing address

409 Emerald Heights St
Las Vegas, NV 89144-4154
Phone (702) 728-5686

Other identifiers 3

IdentifierTypeStateIssuer
002082211MedicaidNV
10955263OtherNVCAQH
P00360719OtherRAILROAD MEDICARE PIN

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
I20060623000108 NV Practitioner - Urology 5799754206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, Irvine, California College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

653 N Town Ctr Dr
Suite 407
Las Vegas, NV 89144-0505
Phone (702) 728-5686

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew H Hwang MD Prof LLC Urology CurrentSince Jan 17, 2015 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Affinity Surgery Center, LLC PastSince Jan 1, 2026 Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

653 N Town Center Dr
Ste 407
Las Vegas, NV 89144
Phone (702) 368-2244

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1730142753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 EMERALD HEIGHTS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444154",
            "telephone_number": "702-728-5686",
            "fax_number": "702-628-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE 407",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-728-5686",
            "fax_number": "702-628-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "ANDREW",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NV",
            "license": "11801",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "11801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002082211",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10955263",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00360719",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.