Individual provider Active NPI

Paul Chao, M.D.

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1922191337
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5611 Issued in NV
Practice address
8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone
(702) 577-1622
Fax
(702) 912-4994
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD61090371 WA
Obstetrics & Gynecology Physician 207V00000X 5611 NV Primary

Addresses

Primary practice location

8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319

Mailing address

8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone (702) 330-3102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210811003134 WA Practitioner - Obstetrics/Gynecology 2567358427 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5611NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Washington Inc PS Obstetrics & Gynecology CurrentSince Jun 29, 2021 Accepting new patients
Legacy Salmon Creek Hospital Obstetrics & Gynecology CurrentSince Feb 16, 2022 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Feb 16, 2022 Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients
Sunrise Physician Services LLC Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Organizations & group practices 5

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1922191337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-330-3102",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-577-1622",
            "fax_number": "702-912-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61090371",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "5611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.