Individual provider Active NPI

William T Azzoli, MD

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1902036882
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16141 Issued in NV
Practice address
2700 Sunset Rd #B18
Las Vegas, NV 89120
Phone
(702) 487-6510
Fax
(702) 405-7960
NPI assigned
Jul 25, 2009
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 266387-1 NY
Internal Medicine Physician 207R00000X 4301094810 MI
Anesthesiology Physician 207L00000X 16141 NV Primary

Addresses

Primary practice location

2700 Sunset Rd #B18
Las Vegas, NV 89120

Mailing address

PO Box 93358
B18
Las Vegas, NV 89193
Phone (313) 492-6961

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
I20151105002485 NV Practitioner - Anesthesiology 5799925004 Reassigns benefits to 3 organizations
Practice locations: Las Vegas, NV

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16141NVMDAnesthesiology Physician
266387-1NYMDAnesthesiology Physician
4301094810MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
Anesthesia Oasis, LLC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Valley Anesthesiology Consultants-Beckett-PLLC Anesthesiology CurrentSince Dec 1, 2015 Accepting new patients
William Azzoli MD Anesthesiology PastSince Mar 1, 2020 Accepting new patients

Locations

10120 S Eastern Ave
Ste 130
Henderson, NV 89052
Phone (702) 487-6880

10120 S Eastern Ave
Ste 230
Henderson, NV 89052
Phone (702) 487-6880

2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

6402 McLeod Dr
Ste 2
Las Vegas, NV 89120
Phone (702) 325-1711

7365 S Pecos Rd
Las Vegas, NV 89120
Phone (702) 355-0816

Organizations & group practices 4

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": "1248480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1902036882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93358",
            "address_2": "B18",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89193",
            "telephone_number": "313-492-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SUNSET RD #B18",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-487-6510",
            "fax_number": "702-405-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZOLI",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-25",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "266387-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301094810",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "16141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.