Active NPI
Richard Lopez Mon, M.D.
- Internal Medicine Physician
- Henderson, NV
National Provider Identifier
1972590628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18587
- Practice address
- 525 Marks St.
Henderson, NV 89014 - Phone
- (702) 671-1000
- Fax
- (702) 458-0610
- NPI assigned
- Sep 28, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036056621 | IL | |
| Internal Medicine Physician | 207R00000X | 18587 | NV | Primary |
Addresses
Primary practice location
525 Marks St.
Henderson, NV 89014
Mailing address
1800 W. Charleston Blvd. Ste. 508
Las Vegas, NV 89102
Phone (702) 383-2688
Other practice location 1
4400 W 95th St
Suite 312
Oak Lawn, IL 60453-2654
Phone (708) 499-3160
Other practice location 2
6170 N Durango Dr Ste 130
Las Vegas, NV 89149
Phone (702) 940-1550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18587 | Other | NV | STATE LICENSE |
| 1972590628 | Medicaid | NV |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190422002529 | NV | Practitioner - Internal Medicine | 3476585944 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18587 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Medical Group Coats LTD | Internal Medicine | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1972590628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W. CHARLESTON BLVD. STE. 508",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-383-2688",
"fax_number": "702-671-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 MARKS ST.",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89014",
"telephone_number": "702-671-1000",
"fax_number": "702-458-0610"
}
],
"practiceLocations": [
{
"address_1": "4400 W 95th St",
"address_2": "SUITE 312",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532654",
"country_code": "US",
"telephone_number": "708-499-3160",
"fax_number": "708-499-1150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6170 N Durango Dr Ste 130",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89149",
"country_code": "US",
"telephone_number": "702-940-1550",
"fax_number": "702-940-1551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MON",
"first_name": "RICHARD",
"middle_name": "LOPEZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-28",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036056621",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "18587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "18587",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972590628",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.