Active NPI
Patrick S. McNulty, MD
- Orthopaedic Surgery of the Spine Physician
- Henderson, NV
National Provider Identifier
1922007244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 8238
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922007244 | Medicaid | NV |
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
Enrollment records 1
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
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
- pmcnulty12934@direct.umcsn.com
- 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.
-
- Neurological Surgery Physician
- Las Vegas, NV
- NPI 1164941381
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.