Individual provider Active NPI

Catrisha Chantelle Cabanilla- del Mundo, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1922392315
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
DO1900 Issued in NV
Practice address
4131 Swenson St
Nathan Adelson Hospice
Las Vegas, NV 89119-6718
Phone
(702) 796-3141
Fax
(702) 796-3122
NPI assigned
Jun 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X DO1900 NV Primary
Family Medicine Physician 207Q00000X SL0806 NV

Addresses

Primary practice location

4131 Swenson St
Nathan Adelson Hospice
Las Vegas, NV 89119-6718

Mailing address

4131 Swenson St
Nathan Adelson Hospice
Las Vegas, NV 89119-6718
Phone (702) 796-3141

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
I20151104001887 NV Practitioner - Family PracticePractitioner - Hospice/Palliative Care 8628388592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nathan Adelson Hospice IncGroup PAC ID 6709820129, 10 clinicians

Practice addresses (Care Compare)

3150 N Tenaya Way
Suite 350
Las Vegas, NV 89128-0489
Phone (702) 733-0320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1900NVMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Compassionate Care and Palliative Services Institute Hospice and Palliative Medicine CurrentSince Sep 15, 2015 Accepting new patients

Locations

4141 University Center Dr
Las Vegas, NV 89119
Phone (702) 796-3162

3150 N Tenaya Way
Ste 350
Las Vegas, NV 89128
Phone (702) 243-6400

2270 Commercial Dr
Ste B
Pahrump, NV 89048
Phone (702) 751-6700

Organizations & group practices 2

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1922392315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SWENSON ST",
            "address_2": "NATHAN ADELSON HOSPICE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196718",
            "telephone_number": "702-796-3141",
            "fax_number": "702-796-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SWENSON ST",
            "address_2": "NATHAN ADELSON HOSPICE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196718",
            "telephone_number": "702-796-3141",
            "fax_number": "702-796-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANILLA- DEL MUNDO",
        "first_name": "CATRISHA",
        "middle_name": "CHANTELLE",
        "name_prefix": "Miss",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NV",
            "license": "DO1900",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "SL0806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.