Individual provider Active NPI

Adan Rafael Castrodad-Caraballo, MD

  • Colon & Rectal Surgery Physician
  • Henderson, NV
National Provider Identifier
1760914188
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
27951 Issued in NV
Practice address
10001 S Eastern Ave Ste 310
Henderson, NV 89052-3908
Phone
(702) 914-2420
Fax
(702) 914-6653
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 70026 AZ
Colon & Rectal Surgery Physician 208C00000X 27951 NV Primary

Addresses

Primary practice location

10001 S Eastern Ave Ste 310
Henderson, NV 89052-3908

Mailing address

10001 S Eastern Ave Ste 310
Henderson, NV 89052-3908
Phone (702) 914-2420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230615002982 AZ Practitioner - Colorectal Surgery (Proctology) 9133499734 Reassigns benefits to 1 organization
I20250821002494 NV Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 9133499734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University Central del Caribe Escuela de Medicina, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Nevada Surgery Specialists LTDGroup PAC ID 9537146063, 15 clinicians

Practice addresses (Care Compare)

10001 S Eastern Ave
Suite 310
Henderson, NV 89052-3908
Phone (702) 914-2420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
78.27
Promoting interoperability
100
Improvement activities
40
Cost
76.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70026AZMDColon & Rectal Surgery Physician
27951NVMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Nevada Surgery Specialists LTD CurrentSince Aug 1, 2025 Accepting new patients
Mayo Clinic Arizona CurrentSince Aug 12, 2023 Accepting new patients
Mayo Clinic Arizona CurrentSince Aug 12, 2023 Accepting new patients

Locations

5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800

13400 E Shea Blvd
Scottsdale, AZ 85259

10001 S Eastern Ave
Ste 310
Henderson, NV 89052
Phone (702) 566-2400

2410 Fire Mesa St
Ste 170
Las Vegas, NV 89128
Phone (702) 483-4483

8285 W Arby Ave
Ste 225
Las Vegas, NV 89113
Phone (702) 236-4181

8285 W Arby Ave
Ste 190
Las Vegas, NV 89113
Phone (702) 263-9644

Interoperability endpoints

  • Direct secure messaging: adan.castrodad-caraballo.1@5551.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5551/brand/1/csg/1/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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1760914188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE STE 310",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523908",
            "telephone_number": "702-914-2420",
            "fax_number": "702-914-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE STE 310",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523908",
            "telephone_number": "702-914-2420",
            "fax_number": "702-914-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRODAD-CARABALLO",
        "first_name": "ADAN",
        "middle_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AZ",
            "license": "70026",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NV",
            "license": "27951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.