Individual provider Active NPI

Rosa Bellota, MD

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1811280183
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
15241 Issued in NV
Practice address
4958 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-1421
Phone
(702) 987-6174
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 15241 NV
Child & Adolescent Psychiatry Physician 2084P0804X 15241 NV Primary

Addresses

Primary practice location

4958 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-1421

Mailing address

4958 S Rainbow Blvd Ste 100
Las Vegas, NV 89118-1421
Phone (702) 987-6174

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730001458 NV Practitioner - Psychiatry 7416299961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rosa Bellota MD PC IncGroup PAC ID 6608118153, 3 clinicians

Practice addresses (Care Compare)

4958 S Rainbow Blvd
Suite 100
Las Vegas, NV 89118-1421
Phone (702) 987-6174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15241NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Technology Service Solutions Current Accepting new patients
Rosa Bellota MD PC Inc Psychiatry CurrentSince Mar 18, 2019 Accepting new patients
Oasis Wellness Group, Inc. PastSince Mar 18, 2019 Accepting new patients

Locations

4958 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 987-6174

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.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1811280183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4958 S RAINBOW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181421",
            "telephone_number": "702-987-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 S RAINBOW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181421",
            "telephone_number": "702-987-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOTA",
        "first_name": "ROSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "15241",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "15241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.