Active NPI
Damanzoopinder Kaur Samrao, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 15383
- Practice address
- 1707 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2353 - Phone
- (702) 671-2201
- NPI assigned
- Apr 28, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A117091 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 15383 | NV | Primary |
Addresses
Primary practice location
1707 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2353
Mailing address
3016 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1973
Phone (702) 671-5070
Other practice location 1
3059 South Maryland Parkway
Suite 100
Las Vegas, NV 89109-6209
Phone (702) 732-3441
Other practice location 2
7455 W Washington Ave Ste 301
Las Vegas, NV 89128
Phone (877) 562-5227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952545337 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Laboratory Medicine Consultants LTD
Practice addresses (Care Compare)
3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8000
5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 853-3000
657 N Town Ctr Dr
Las Vegas, NV 89144-6367
Phone (702) 233-7000
7455 W Washington Ave
Suite 301
Las Vegas, NV 89128-4340
Hospital & facility affiliations
- Summerlin Hospital Medical Center
- Spring Valley Hospital Medical Center
- Henderson Hospital
- Valley Hospital Medical Center
- Centennial Hills Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.52 of 100
- Quality
- 66.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A117091 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 15383 | NV | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratory Medicine Consultants LTD | Current | Accepting new patients | |
| Laboratory Medicine Consultants LTD | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| City of Hope Medical Group of Arizona LLC | Current | Accepting new patients |
Locations
2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273
2500 Canyon Rd
Ste D1
Bullhead City, AZ 86442
Phone (602) 698-5800
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
File 749203
Los Angeles, CA 90074
11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 732-3441
7455 W Washington Ave
Ste 301
Las Vegas, NV 89128
Phone (702) 732-3441
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Las Vegas, NV
- NPI 1083675169
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1295319085
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1942991245
Hospital
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1982289690
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1861234619
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1952545337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 W CHARLESTON BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021973",
"telephone_number": "702-671-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 W CHARLESTON BLVD STE 230",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022353",
"telephone_number": "702-671-2201"
}
],
"practiceLocations": [
{
"address_1": "3059 South Maryland Parkway",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891096209",
"country_code": "US",
"telephone_number": "702-732-3441",
"fax_number": "702-732-2310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7455 W Washington Ave Ste 301",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89128",
"country_code": "US",
"telephone_number": "877-562-5227",
"fax_number": "702-938-9954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMRAO",
"first_name": "DAMANZOOPINDER",
"middle_name": "KAUR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-28",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A117091",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NV",
"license": "15383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952545337",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.