Roberto Cortez Carillo Jr., APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN001126 Issued in NV

Practice address

7373 Peak Dr
Suite 160
Las Vegas, NV 89128-9003

Phone

(702) 869-6190

Fax

(702) 869-6199

NPI assigned

Jul 28, 2009

Last updated

Jul 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Danka K Michaels M D Prof CorpGroup PAC ID 9830175918, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Danka K Michaels M D Prof Corp

  dba BluePoint Medical Group

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1679623276
  Medicare reassignment Care Compare group NPD
• Red Rock Pain Specialists, LLC

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1821867029
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sunrise Mountainview Hospital, Inc.

  dba Mountainview Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1104870187
  Care Compare affiliation

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1790916575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 PEAK DR",
            "address_2": "SUITE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289003",
            "telephone_number": "702-869-6190",
            "fax_number": "702-869-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 PEAK DR",
            "address_2": "SUITE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289003",
            "telephone_number": "702-869-6190",
            "fax_number": "702-869-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARILLO",
        "first_name": "ROBERTO",
        "middle_name": "CORTEZ",
        "name_suffix": "Jr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreen Tagavilla Cariaga
• Lesley J Carias-Bonilla
• Caridad Personal Care LLC
• Amber Cariker
• Graciela Carillo
• Estrella Carin
• Ivory Carin
• Mariel Therese Carin
• Mario Carin, M.D.
• Caring Closely Providers

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.

Verify at the official NPI Registry.