NPIMap

Organization Active NPI

Pediatric Gastroenterology Prof Assn

Doing business as Pediatric Gast and Nutri Associates

  • Pediatric Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1912182890
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
6739 Issued in NV
Legal business name
PEDIATRIC GASTROENTEROLOGY PROF ASSN
Doing business as
Pediatric Gast and Nutri Associates
Practice address
6565 S Buffalo Dr.
Ste 120
Las Vegas, NV 89113-2410
Phone
(702) 791-0477
Fax
(702) 791-6831
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Dr. Howard Ian Baron, MDNPI 1497739601
Title
President
Phone
(702) 791-0477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0206X 6739 NV Primary

Addresses

Primary practice location

6565 S Buffalo Dr.
Ste 120
Las Vegas, NV 89113-2410

Mailing address

6565 S Buffalo Dr.
Ste 120
Las Vegas, NV 89113-2410
Phone (702) 791-0477

Other names 1

  • Pediatric Gast and Nutri Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617001510 NV Part B Supplier - Clinic/Group Practice 4284618919 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1912182890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 S BUFFALO DR.",
            "address_2": "STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132410",
            "telephone_number": "702-791-0477",
            "fax_number": "702-791-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S BUFFALO DR.",
            "address_2": "STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132410",
            "telephone_number": "702-791-0477",
            "fax_number": "702-791-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY PROF ASSN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-791-0477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NV",
            "license": "6739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Gast and Nutri Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.