Active NPI
Adan Rafael Castrodad-Caraballo, MD
- Colon & Rectal Surgery Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 27951
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- University Central del Caribe Escuela de Medicina, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 78.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.62
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70026 | AZ | MD | Colon & Rectal Surgery Physician |
| 27951 | NV | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Nevada Surgery Specialists LTD | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | 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
- adan.castrodad-caraballo.1@5551.direct.athenahealth.com
- 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.
-
- Surgery Physician
- Henderson, NV
- NPI 1669663910
-
dba Mayo Clinic Scottsdale
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1699520049
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Rose Dominican Hospital, Siena Campus
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1962181172
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.