Individual provider Active NPI

Michael Masahiko Kawaguchi, MD

  • Diagnostic Radiology Physician
  • Henderson, NV
National Provider Identifier
1952301616
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
6753 Issued in NV
Practice address
2850 Siena Heights Dr
Henderson, NV 89052-4154
Phone
(702) 732-6000
Fax
(702) 243-7531
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 6753 NV Primary

Addresses

Primary practice location

2850 Siena Heights Dr
Henderson, NV 89052-4154

Mailing address

PO Box 36900
Las Vegas, NV 89133-6900
Phone (702) 732-6000

Other identifiers 1

IdentifierTypeStateIssuer
200262809MedicaidNV

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
I20110421000501 NV Practitioner - Diagnostic Radiology 6002091865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Hahnemann University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sdmi, LLCGroup PAC ID 7911897053, 36 clinicians

Practice addresses (Care Compare)

10040 Alta Dr
Suite 170
Las Vegas, NV 89145-8630
Phone (701) 732-6000

2850 Siena Heights Dr
Henderson, NV 89052-4154
Phone (702) 732-6000

2950 S Maryland Pkwy
Las Vegas, NV 89109-2204
Phone (702) 732-6000

31 N Nellis Blvd
Las Vegas, NV 89110-5330
Phone (702) 732-6000

4 Sunset Way
Suite D
Henderson, NV 89014-2016
Phone (702) 732-6000

6925 N Durango Dr
Las Vegas, NV 89149-4410
Phone (702) 732-6000

800 Shadow LN
Las Vegas, NV 89106-4123
Phone (702) 732-6000

8945 Lindell Rd
Las Vegas, NV 89139-7402
Phone (702) 732-6000

9070 W Post Rd
Las Vegas, NV 89148-2419
Phone (702) 732-6000

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
82.05
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sdmi, LLC Diagnostic Radiology CurrentSince Jan 1, 1987 Accepting new patients
Hoffman, MD, Associated Pathologists Chartered Past Accepting new patients

Locations

4 Sunset Way
Ste D
Henderson, NV 89014

4 Sunset Way
Henderson, NV 89014
Phone (215) 680-3255

2850 Siena Heights Dr
Henderson, NV 89052

800 N Gibson Rd
Ste 110
Henderson, NV 89011

2950 S Maryland Pkwy
Las Vegas, NV 89109

6925 N Durango Dr
Las Vegas, NV 89149

9070 W Post Rd
Las Vegas, NV 89148

10040 Alta Dr
Ste 170
Las Vegas, NV 89145
Phone (701) 732-6000

2767 N Tenaya Way
Las Vegas, NV 89128

8945 Lindell Rd
Las Vegas, NV 89139

31 N Nellis Blvd
Las Vegas, NV 89110

800 Shadow Ln
Las Vegas, NV 89106
Phone (702) 366-9700

1650 W Craig Rd
Ste 100
North Las Vegas, NV 89032

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1952301616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36900",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336900",
            "telephone_number": "702-732-6000",
            "fax_number": "702-243-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SIENA HEIGHTS DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524154",
            "telephone_number": "702-732-6000",
            "fax_number": "702-243-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAGUCHI",
        "first_name": "MICHAEL",
        "middle_name": "MASAHIKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "6753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200262809",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.