NPIMap

Individual provider Active NPI

Ricardo A Samson, M.D.

  • Pediatric Cardiology Physician
  • Las Vegas, NV
National Provider Identifier
1811067291
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
16395 Issued in NV
Practice address
3131 La Canada St Ste 230
Las Vegas, NV 89169-2551
Phone
(702) 732-1290
Fax
(702) 732-1385
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 22480 AZ
Pediatric Cardiology Physician 2080P0202X 16395 NV Primary

Addresses

Primary practice location

3131 La Canada St Ste 230
Las Vegas, NV 89169-2551

Mailing address

3131 La Canada St Ste 230
Las Vegas, NV 89169-2551
Phone (702) 732-1290

Other identifiers 1

IdentifierTypeStateIssuer
175390MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823000629 NV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 5597862334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Neal Evans MD LTDGroup PAC ID 7012804263, 17 clinicians

Practice addresses (Care Compare)

3131 La Canada St
Suite 230
Las Vegas, NV 89169-2551
Phone (702) 732-1290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22480AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
William Neal Evans, MD, LTD Pediatric Cardiology CurrentSince Jul 18, 2016 Accepting new patients
William Neal Evans MD LTD Pediatric Cardiology CurrentSince Jul 18, 2016 Accepting new patients
Banner Pharmacy Services LLC Past Accepting new patients
Tucson Medical Center Past Accepting new patients
University Physicians Healthcare Past Accepting new patients
Carondelet Health Network Past Accepting new patients
Oro Valley Hospital LLC Past Accepting new patients
Northwest Hospital LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

3006 S Maryland Pkwy
Ste 690
Las Vegas, NV 89109
Phone (702) 732-1290

3131 La Canada St
Ste 230
Las Vegas, NV 89169
Phone (702) 732-1290

85 Kirman Ave
Ste 401
Reno, NV 89502
Phone (702) 329-0222

Interoperability endpoints

  • Direct secure messaging: rsamson18720@direct.umcsn.com

Organizations & group practices 9

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1811067291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692551",
            "telephone_number": "702-732-1290",
            "fax_number": "702-732-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692551",
            "telephone_number": "702-732-1290",
            "fax_number": "702-732-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "RICARDO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "22480",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NV",
            "license": "16395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175390",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.