Individual provider Active NPI

Stuart Allen Engel, MD

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1750348645
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1497 Issued in NV
Practice address
5380 S Rainbow Blvd
Ste 300
Las Vegas, NV 89118
Phone
(702) 379-4753
Fax
(702) 367-8207
NPI assigned
Apr 26, 2006
Last updated
Feb 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1497 NV Primary

Addresses

Primary practice location

5380 S Rainbow Blvd
Ste 300
Las Vegas, NV 89118

Mailing address

5380 S Rainbow Blvd
Suite 300
Las Vegas, NV 89118-1877
Phone (702) 379-4753

Other identifiers 1

IdentifierTypeStateIssuer
100500032MedicaidNV

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
I20060413000038 NV Practitioner - General SurgeryPractitioner - General Practice 7113989609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Johns Hopkins University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5320 S Rainbow Blvd
Suite 154
Las Vegas, NV 89118-1807
Phone (702) 853-3853

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue269
Removal of skin lesions36
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1497NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lubna Javed MD PLLC CurrentSince Jun 1, 2014 Accepting new patients
Stuart Engel MD Professional Corporation Surgery CurrentSince Aug 11, 2003 Accepting new patients
Sentara Hospitals Past Accepting new patients

Locations

3022 S Durango Dr
Ste 100
Las Vegas, NV 89117
Phone (702) 210-9423

5320 S Rainbow Blvd
Ste 154
Las Vegas, NV 89118
Phone (702) 818-5555

5380 S Rainbow Blvd
Ste 300
Las Vegas, NV 89118
Phone (702) 367-8204

5400 S Rainbow Blvd
Ste 300
Las Vegas, NV 89118
Phone (702) 734-1800

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

Interoperability endpoints

  • FHIR API: https://epicfhir.sentara.com/ARR-FHIR-PRD/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1750348645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD",
            "address_2": "SUITE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181877",
            "telephone_number": "702-379-4753",
            "fax_number": "702-367-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD",
            "address_2": "STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-379-4753",
            "fax_number": "702-367-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "STUART",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500032",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.