NPIMap

Individual provider Active NPI

Harold A Tate, M.D.

  • Vascular & Interventional Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1902005184
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
L5971 Issued in TX
Practice address
8680 Mesa Canogo Drive
Las Vegas, NV 89148-1444
Phone
(702) 429-2050
Fax
(702) 253-7834
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X L5971 TX Primary
Diagnostic Radiology Physician 2085R0202X G74583 CA

Addresses

Primary practice location

8680 Mesa Canogo Drive
Las Vegas, NV 89148-1444

Mailing address

8680 Mesa Canogo Drive
Las Vegas, NV 89148-1444
Phone (702) 429-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050908001178 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1759370547 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G74583CAMDDiagnostic Radiology Physician
L5971TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pecos County Memorial Hospital District Current Accepting new patients
Quality Medical Imaging of Arizona, Inc CurrentSince Jan 10, 2020 Accepting new patients
Quality Medical Imaging of Texas, Inc CurrentSince Jan 21, 2021 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Pecos County Memorial Hospital District CurrentSince Aug 8, 2025 Accepting new patients
Quality Medical Imaging of Nevada LLC CurrentSince Jan 10, 2020 Accepting new patients
Radcare of Texas PLLC Diagnostic Radiology Past Accepting new patients
Medical Imaging Diagnostic Associates Diagnostic Radiology Past Accepting new patients
MCH Professional Care Radiology Diagnostic Radiology Past Accepting new patients
Northstar Imaging Inc Diagnostic Radiology Past Accepting new patients

Locations

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1902005184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 MESA CANOGO DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481444",
            "telephone_number": "702-429-2050",
            "fax_number": "702-253-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 MESA CANOGO DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481444",
            "telephone_number": "702-429-2050",
            "fax_number": "702-253-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "HAROLD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "L5971",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G74583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.