Individual provider Active NPI

Richard J Maw, M.D.

  • Ophthalmology Physician
  • North Las Vegas, NV
National Provider Identifier
1780769331
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10184 Issued in NV
Practice address
2517 E Lake Mead Blvd
North Las Vegas, NV 89030-6410
Phone
(702) 642-7711
Fax
(702) 642-8822
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 10184 NV Primary

Addresses

Primary practice location

2517 E Lake Mead Blvd
North Las Vegas, NV 89030-6410

Mailing address

2505 Anthem Village Dr # E-594
Henderson, NV 89052-5505
Phone (702) 642-7711

Other identifiers 1

IdentifierTypeStateIssuer
100501861MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100106000176 NE Practitioner - Ophthalmology 5597754903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists PCGroup PAC ID 8224923222, 5 clinicians

Practice addresses (Care Compare)

1103 Galvin Rd S
Bellevue, NE 68005-3004
Phone (402) 292-6514

Merit-based Incentive Payment System (MIPS)

Final score
84.46 of 100Reported as group
Quality
82
Improvement activities
40
Cost
72.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery453

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists PC CurrentSince Jan 2, 2018 Accepting new patients
Heartland Cataract & Laser Surgery Center, Inc. Ophthalmology Past Accepting new patients
Richard Maw MD PC Ophthalmology PastSince Sep 1, 2003 Accepting new patients
Physicians Clinic Inc Past Accepting new patients

Locations

1103 Galvin Rd S
Ste H
Bellevue, NE 68005
Phone (402) 292-6514

1103 Galvin Rd S
Bellevue, NE 68005
Phone (402) 292-3642

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1780769331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ANTHEM VILLAGE DR # E-594",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525505",
            "telephone_number": "702-642-7711",
            "fax_number": "702-642-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 E LAKE MEAD BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306410",
            "telephone_number": "702-642-7711",
            "fax_number": "702-642-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAW",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "10184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501861",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.