Active NPI
Matthew Anthony Cadelago, DO
- Emergency Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO2786
- Practice address
- 3100 N Tenaya Way
Las Vegas, NV 89128-0436 - Phone
- (702) 562-5519
- NPI assigned
- Mar 17, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | DO2786 | NV | Primary |
| Emergency Medicine Physician | 207P00000X | 20A18952 | CA |
Addresses
Primary practice location
3100 N Tenaya Way
Las Vegas, NV 89128-0436
Mailing address
3100 N Tenaya Way
Las Vegas, NV 89128-0436
Other practice location 1
2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 269-4253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (954) 939-5000
1299 Bertha Howe Ave
Mesquite, NV 89027-7500
Phone (615) 221-3722
2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121
Hospital & facility affiliations
- Mesa View Regional Hospital
- Providence St Joseph Hospital
- Banner Ironwood Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A18952 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVP Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Progressive Medical Associates PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services PC | Emergency Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229
3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270
5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556
Interoperability endpoints
- mcadelag@yourcarecommunity.org
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.
-
- Emergency Medicine Physician
- Mesquite, NV
- NPI 1427730209
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1518984210
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1548218613
-
- Emergency Medicine Physician
- Apache Junction, AZ
- NPI 1205273406
-
- Emergency Medicine Physician
- San Tan Valley, AZ
- NPI 1902936164
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1740584473
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
-
- General Acute Care Hospital
- Queen Creek, AZ
- NPI 1124341672
-
- Home Infusion Therapy Pharmacy
- Eureka, CA
- NPI 1568422319
Hospital
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1609858950
-
- General Acute Care Hospital
- Eureka, CA
- NPI 1891900635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1811490683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280436",
"telephone_number": "702-562-5519"
}
],
"practiceLocations": [
{
"address_1": "2700 Dolbeer St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955014736",
"country_code": "US",
"telephone_number": "707-269-4253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CADELAGO",
"first_name": "MATTHEW",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-17",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "DO2786",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A18952",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.