Individual provider Active NPI

Ryan Huang, D.O.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1871942151
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2404 Issued in NV
Practice address
2995 S Jones Blvd Ste a
Las Vegas, NV 89146-5612
Phone
(702) 805-1880
Fax
(702) 805-1880
NPI assigned
Jun 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DO2404 NV
Family Medicine Physician 207Q00000X SL1161 NV
Family Medicine Physician 207Q00000X DO2404 NV Primary

Addresses

Primary practice location

2995 S Jones Blvd Ste a
Las Vegas, NV 89146-5612

Mailing address

3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103-2209
Phone (702) 434-8880

Other practice location 1

3750 S Jones Blvd Ste 120
Las Vegas, NV 89103-2209
Phone (702) 434-8880

Other practice location 2

620 Shadow Lane
Las Vegas, NV 89106-4194
Phone (702) 388-8436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190304000454 NV Practitioner - Family PracticePractitioner - General SurgeryPractitioner - Internal MedicinePractitioner - Other (Physician) 0345535126 Reassigns benefits to 4 organizations
I20260407003784 CA Practitioner - Family Practice 0345535126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians
D and D Milne LTDGroup PAC ID 4880786516, 6 clinicians
Julie Wu IncGroup PAC ID 8628163201, 7 clinicians

Practice addresses (Care Compare)

135 S State College Blvd
Suite 200
Brea, CA 92821-5805
Phone 88843488806

2010 Wellness Way
Suite 100
Las Vegas, NV 89106-4142
Phone (702) 588-7373

3750 S Jones Blvd
Suite 120
Las Vegas, NV 89103-2209
Phone (702) 434-8880

Hospital & facility affiliations

  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
  • Encompass Health Rehabilitation Hospital of LV Inpatient rehabilitation facility, Las Vegas, NV, CCN 293026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue207
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
D and D Milne, LTD CurrentSince Aug 14, 2022 Accepting new patients
Julie Wu, Inc CurrentSince Jan 1, 2019 Accepting new patients
Professional Wound Specialists PC Surgery CurrentSince Feb 1, 2026 Accepting new patients
Professional Wound Specialists LLC Surgery CurrentSince Oct 1, 2024 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Family Comfort Care LLC Family Medicine PastSince Apr 10, 2024 Accepting new patients
Ucxtra Umbrella, LLC PastSince Oct 20, 2019 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

3191 W Temple Ave
Ste 110
Pomona, CA 91768

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

2010 Wellness Way
Ste 100
Las Vegas, NV 89106
Phone (702) 588-7373

2995 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 805-1880

2995 S Jones Blvd
Ste A
Las Vegas, NV 89146
Phone (702) 227-0005

3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103
Phone (702) 291-8828

5597 Spring Mountain Rd
Las Vegas, NV 89146
Phone (702) 575-4227

5597 Spring Mountain Rd
Ste G
Las Vegas, NV 89146
Phone (702) 419-8394

Interoperability endpoints

  • Direct secure messaging: ryan.huang@482280370208772.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Not ApplicableLas Vegas, NV, CCN 291571 Hospice Contracted Managing Employee
Corporate Director
Dec 3, 2019
Dec 3, 2019
Family Comfort Care LLCLas Vegas, NV, CCN 291713 Hospice Contracted Managing Employee Apr 10, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 8

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1871942151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 S JONES BLVD",
            "address_2": "STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032209",
            "telephone_number": "702-434-8880",
            "fax_number": "702-862-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 S JONES BLVD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465612",
            "telephone_number": "702-805-1880",
            "fax_number": "702-805-1880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 S Jones Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891032209",
            "country_code": "US",
            "telephone_number": "702-434-8880",
            "fax_number": "702-862-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Shadow Lane",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064194",
            "country_code": "US",
            "telephone_number": "702-388-8436",
            "fax_number": "702-388-8431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "RYAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "DO2404",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "SL1161",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.