Individual provider Active NPI

Renee Lim Ngo, MD

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1902889264
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10905 Issued in NV
Practice address
3680 E Sunset Rd Ste 100
Las Vegas, NV 89120-7219
Phone
(702) 855-0748
Fax
(702) 436-8088
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10905 NV Primary
Geriatric Psychiatry Physician 2084P0805X 10905 NV

Addresses

Primary practice location

3680 E Sunset Rd Ste 100
Las Vegas, NV 89120-7219

Mailing address

PO Box 778207
Henderson, NV 89077-8207
Phone (702) 855-0748

Other identifiers 16

IdentifierTypeStateIssuer
432058646OtherPBH
432058646OtherTRICARE
100503733MedicaidNV
CS12498OtherNVCS
332338OtherMHN
432058646OtherUBH
1619902OtherCIGNA
432058646OtherMEDIVERSAL
NV1580OtherBCBS
21250983138OtherBEECHSTREET
727662000OtherMAGELLAN
2202522OtherCBH
432058646OtherTEACHERS HEALTH
432058646OtherPACIFICARE
9374117OtherPHCS
NV1580OtherHBI

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
I20040616001483 NV Practitioner - Psychiatry 5799769717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3680 E Sunset Rd
Suite 100
Las Vegas, NV 89120-7219
Phone (702) 855-0748

Hospital & facility affiliations

  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • University Medical Center Hospital, Las Vegas, NV, CCN 290007
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as individual
Quality
76.67
Cost
79.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10905NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renee Lim Ngo PC Psychiatry CurrentSince Jan 1, 2005 Accepting new patients
Nevada Integrated Healthcare CurrentSince Mar 1, 2021 Accepting new patients
Valley Hospital Medical Center Past Accepting new patients

Locations

3680 E Sunset Rd
Ste 100
Las Vegas, NV 89120
Phone (702) 486-4531

10155 W Twain Ave
Ste 110
Las Vegas, NV 89147
Phone (702) 243-2689

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 and National Provider Directory roles.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902889264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778207",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890778207",
            "telephone_number": "702-855-0748",
            "fax_number": "702-436-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E SUNSET RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207219",
            "telephone_number": "702-855-0748",
            "fax_number": "702-436-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "RENEE",
        "middle_name": "LIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "10905",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NV",
            "license": "10905",
            "primary": false
        }
    ],
    "identifiers": [
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            "desc": "Other (non-Medicare)",
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            "identifier": "432058646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "432058646",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503733",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CS",
            "identifier": "CS12498",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "332338",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "432058646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1619902",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIVERSAL",
            "identifier": "432058646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NV1580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "21250983138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "727662000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBH",
            "identifier": "2202522",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEACHERS HEALTH",
            "identifier": "432058646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "432058646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9374117",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HBI",
            "identifier": "NV1580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.