Active NPI
Richard R Sterett, MD
- Pediatric Critical Care Medicine Physician
- Las Vegas, NV
National Provider Identifier
1891710406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 6653
- Practice address
- 1800 W Charleston Blvd
University Medical Center
Las Vegas, NV 89102-2329 - Phone
- (702) 383-2420
- Fax
- (702) 383-8402
- NPI assigned
- Jul 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 6653 | NV | Primary |
Addresses
Primary practice location
1800 W Charleston Blvd
University Medical Center
Las Vegas, NV 89102-2329
Mailing address
PO Box 371540
Las Vegas, NV 89137-1540
Phone (702) 383-2420
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1489023 | Medicaid | TX | |
| 1692981 | Medicaid | LA | |
| 274899 | Medicaid | OR | |
| 2019453 | Medicaid | NV | |
| 8265951 | Medicaid | WA | |
| XPY187396 | Medicaid | CA | |
| 245888 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- rsterett14373@direct.umcsn.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891710406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 371540",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891371540",
"telephone_number": "702-383-2420",
"fax_number": "702-383-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W CHARLESTON BLVD",
"address_2": "UNIVERSITY MEDICAL CENTER",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022329",
"telephone_number": "702-383-2420",
"fax_number": "702-383-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERETT",
"first_name": "RICHARD",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NV",
"license": "6653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1489023",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1692981",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274899",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2019453",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8265951",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPY187396",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "245888",
"state": "AZ"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.