Earl Robert G Ang, MD
Individual provider Active NPI Anesthesiology Physician · Las Vegas, NV
NPI 1962453233 · NPPES record last updated Feb 22, 2021
Key facts
- NPI
- 1962453233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 11831 (NV)
- Practice address
- 4700 Las Vegas Blvd N
Las Vegas, NV 89191-6600 - Phone
- (702) 653-2996
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Anesthesiology Consultants-Beckett-PLLC
Practice addresses (Care Compare)
2565 E Flamingo Rd
Las Vegas, NV 89121-5203
Phone (702) 697-7900
8656 W Patrick LN
Las Vegas, NV 89148-5043
Phone (702) 777-7100
9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 880-2100
Hospital & facility affiliations
- Southern Hills Hospital and Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060802000443 | NV | Practitioner - Anesthesiology | 3173587979 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036103683 | IL | MD | Anesthesiology Physician |
| 11831 | NV | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Medical Group Coats LTD | Family Medicine | Current | Accepting new patients |
| Valley Anesthesiology Consultants-Beckett-PLLC | Anesthesiology | Current |
Accepting new patients |
| Sheridan Drozdow Healthcare of Nevada PC | Anesthesiology | Past | Accepting new patients |
| John T Goodsell DO PC Gregory Linderer MD LTD | Anesthesiology | Past |
Accepting new patients |
| Lakeshore Anesthesia LTD | Anesthesiology | Past |
Accepting new patients |
Locations
10120 S Eastern Ave
Ste 230
Henderson, NV 89052
Phone (702) 487-6880
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036103683 | IL | |
| Anesthesiology Physician | 207L00000X | 11831 | NV | Yes |
Addresses
Primary practice location
4700 Las Vegas Blvd N
Las Vegas, NV 89191-6600
Mailing address
6276 Spring Mountain Rd Ste 110
Las Vegas, NV 89146-8869
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036103683 | Medicaid | IL |
Other providers in Las Vegas, NV
- Anesthesiology Consulting Group, Inc
- Sara Aneyan
- Ang Medical Supplies LLC
- Beatriz Ang-Ermocilla
- Almira Ang
- Jesse Ang
- Dayami Angarica
- Yanet Angarica
- Lina Angarita
- Anna-Lizette Matias Angat
All providers in Las Vegas, NV · Anesthesiology Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.