Individual provider Active NPI

Patrick S. McNulty, MD

  • Orthopaedic Surgery of the Spine Physician
  • Henderson, NV
National Provider Identifier
1922007244
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
8238 Issued in NV
Practice address
3175 Saint Rose Pkwy Ste 320
Henderson, NV 89052-3508
Phone
(702) 463-1424
Fax
(702) 901-4112
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 8238 NV
Orthopaedic Surgery of the Spine Physician 207XS0117X 8238 NV Primary

Addresses

Primary practice location

3175 Saint Rose Pkwy Ste 320
Henderson, NV 89052-3508

Mailing address

3012 S Durango Dr
Las Vegas, NV 89117-9186
Phone (702) 835-0088

Other identifiers 1

IdentifierTypeStateIssuer
1922007244MedicaidNV

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
I20060315000148 NV Practitioner - Orthopedic Surgery 7214944313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Miami, LM Miller School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garber Kaplan Douds PLLCGroup PAC ID 7911251806, 6 clinicians

Practice addresses (Care Compare)

3012 S Durango Dr
Las Vegas, NV 89117-9186
Phone (702) 835-0088

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: pmcnulty12934@direct.umcsn.com
  • Direct secure messaging: lvni.patrickmcnulty@138891.advancedmd-direct.com

Organizations & group practices 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1922007244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179186",
            "telephone_number": "702-835-0088",
            "fax_number": "702-826-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 SAINT ROSE PKWY STE 320",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523508",
            "telephone_number": "702-463-1424",
            "fax_number": "702-901-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "PATRICK",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "8238",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NV",
            "license": "8238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922007244",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.