Individual provider Active NPI

Roberto De Castro Chuapoco Jr., M.D.

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1891883922
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
11482 Issued in NV
Practice address
3211 W Charleston Blvd
Las Vegas, NV 89102-1953
Phone
(702) 968-2425
Fax
(702) 968-2488
NPI assigned
Oct 11, 2006
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 11482 NV Primary

Addresses

Primary practice location

3211 W Charleston Blvd
Las Vegas, NV 89102-1953

Mailing address

8608 Mirada del Sol Dr
Las Vegas, NV 89128-8206
Phone (702) 968-2425

Other identifiers 1

IdentifierTypeStateIssuer
100506804MedicaidNV

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
I20051103000693 NV Practitioner - Physical Medicine and Rehabilitation 2860410321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roberto C Chuapoco MD a Professional CorporationGroup PAC ID 3375649940, 4 clinicians

Practice addresses (Care Compare)

3211 W Charleston Blvd
Las Vegas, NV 89102-1953
Phone (702) 968-2425

Merit-based Incentive Payment System (MIPS)

Final score
34.34 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
41.15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto C Chuapoco MD a Professional Corporation Physical Medicine & Rehabilitation CurrentSince Mar 1, 2007 Accepting new patients
Eddiepmd Inc Physical Medicine & Rehabilitation PastSince Jul 30, 2002 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

3131 W Charleston Blvd
Ste 150
Las Vegas, NV 89102
Phone (702) 213-4743

3211 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 444-7796

7500 W Lake Mead Blvd
#9171
Las Vegas, NV 89128

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1891883922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8608 MIRADA DEL SOL DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288206",
            "telephone_number": "702-968-2425",
            "fax_number": "702-968-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021953",
            "telephone_number": "702-968-2425",
            "fax_number": "702-968-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUAPOCO",
        "first_name": "ROBERTO",
        "middle_name": "DE CASTRO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "11482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506804",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.