Randal Raymond Peoples, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

6355 Issued in NV

Practice address

2865 Siena Heights Dr Ste 131
Henderson, NV 89052-4168

Phone

(702) 616-6580

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dignity Health

  • Neurological Surgery Physician
  • Henderson, NV
  • NPI 1720358039
  Medicare reassignment NPD
• Las Vegas Neurosurgery & Spine Care LLC

  • Neurological Surgery Physician
  • Las Vegas, NV
  • NPI 1770665002
  Medicare reassignment NPD
• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1972685212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 SIENA HEIGHTS DR STE 131",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524168",
            "telephone_number": "702-616-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 SIENA HEIGHTS DR STE 131",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524168",
            "telephone_number": "702-616-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEOPLES",
        "first_name": "RANDAL",
        "middle_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G75531",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": "6355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019177",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Leo Pendleton, MD
• Adrionna Penha
• Ronald Pennick Jr
• Jessica Penny
• Shannon Pentony, RPT
• Garrett Thomas Pepich, DO
• Cristol Peppenilli
• Elizabeth Peralez-Plo
• Amanda Rose Peralta, PMHNP-BC
• Amber Peralta

• Neurological Surgery Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Neurological Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.

Verify at the official NPI Registry.