NPIMap

Individual provider Active NPI

Niuton Seigo Koide, MD

  • Clinical Cardiac Electrophysiology Physician
  • Las Vegas, NV
National Provider Identifier
1821067059
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
11761 Issued in NV
Practice address
2880 N Tenaya Way Ste 100
Las Vegas, NV 89128-0642
Phone
(702) 962-2200
NPI assigned
Mar 17, 2006
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11761 NV
Clinical Cardiac Electrophysiology Physician 207RC0001X 11761 NV Primary

Addresses

Primary practice location

2880 N Tenaya Way Ste 100
Las Vegas, NV 89128-0642

Mailing address

PO Box 100744
Atlanta, GA 30384-0744

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
I20060505000588 NV Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 0648211938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunrise Mountainview Multispecialty Clinics LLCGroup PAC ID 1759469711, 64 clinicians

Practice addresses (Care Compare)

2880 N Tenaya Way
Las Vegas, NV 89128-0642

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 255-5000

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.64 of 100Reported as individual
Quality
84.17
Promoting interoperability
0
Improvement activities
40
Cost
78.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11761NVMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Mountainview Multispecialty Clinics, LLC CurrentSince Mar 1, 2020 Accepting new patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients
Henderson Hospital Past Accepting new patients
Cardiovascular Consultants of Nevada Cardiovascular Disease Past Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine Past Accepting new patients
High Point Regional Health Past Accepting new patients
Lexington Medical Center Past Accepting new patients
Novant Health Thomasville Medical Center, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
The Metrohealth System Past Accepting new patients

Locations

2880 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 562-5658

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

1470 E Calvada Blvd
Ste 100
Pahrump, NV 89048
Phone (702) 962-2200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4
  • Direct secure messaging: niuton.koide@hca3.eclinicaldirectplus.com
  • Direct secure messaging: nkoide10435@direct.umcsn.com

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1821067059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100744",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 N TENAYA WAY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280642",
            "telephone_number": "702-962-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOIDE",
        "first_name": "NIUTON",
        "middle_name": "SEIGO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "11761",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NV",
            "license": "11761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.