Individual provider Active NPI

David Winn

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1821592445
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2940 Issued in NV
Practice address
9320 W. Sahara
Las Vegas, NV 89117
Phone
(702) 383-3850
Fax
(702) 562-2816
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2940 NV Primary

Addresses

Primary practice location

9320 W. Sahara
Las Vegas, NV 89117

Mailing address

1800 W. Charleston Blvd.
Las Vegas, NV 89102
Phone (702) 992-6875

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
I20210628002984 NV Practitioner - Family Practice 9133478696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Medical Center of Southern NevadaGroup PAC ID 7315934429, 388 clinicians

Practice addresses (Care Compare)

9320 W Sahara Ave
Las Vegas, NV 89117-5351
Phone (702) 383-3850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2940NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Jul 1, 2021 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jul 1, 2021 Accepting new patients

Locations

525 Marks St
Henderson, NV 89014
Phone (702) 383-6210

4760 Blue Diamond Rd
Ste 110
Las Vegas, NV 89139
Phone (702) 383-2300

9320 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 383-3633

2031 N Buffalo Dr
Las Vegas, NV 89128
Phone (702) 383-2650

1700 Wheeler Peak Dr
Las Vegas, NV 89106
Phone (702) 383-2565

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

61 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 383-6240

4180 S Rainbow Blvd
Ste 810
Las Vegas, NV 89103
Phone (702) 383-3626

5785 Centennial Center Blvd
Ste 190
Las Vegas, NV 89149
Phone (702) 383-6270

Organizations & group practices 2

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1821592445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W. CHARLESTON BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-992-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 W. SAHARA",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-383-3850",
            "fax_number": "702-562-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.