Individual provider Active NPI

Paul Groesbeck, AU.D.

  • Audiologist
  • Las Vegas, NV
National Provider Identifier
1992259725
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-1984 Issued in NV
Practice address
3120 S Rainbow Blvd
Ste 202
Las Vegas, NV 89146-6236
Phone
(702) 233-4327
Fax
(702) 233-8837
NPI assigned
Aug 10, 2016
Last updated
Dec 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-1984 NV Primary

Addresses

Primary practice location

3120 S Rainbow Blvd
Ste 202
Las Vegas, NV 89146-6236

Mailing address

3120 S Rainbow Blvd
Ste 202
Las Vegas, NV 89146-6236
Phone (702) 233-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922000551 NV Practitioner - Qualified Audiologist 4183911993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Utah School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Hearing and Balance Center LLCGroup PAC ID 5092842393, 5 clinicians

Practice addresses (Care Compare)

1742 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89012-4915
Phone (702) 896-0031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Hearing & Balance Center LLC Audiologist CurrentSince Jul 14, 2024 Accepting new patients

Locations

1742 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 896-0031

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1992259725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 S RAINBOW BLVD",
            "address_2": "STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466236",
            "telephone_number": "702-233-4327",
            "fax_number": "702-233-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S RAINBOW BLVD",
            "address_2": "STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466236",
            "telephone_number": "702-233-4327",
            "fax_number": "702-233-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROESBECK",
        "first_name": "PAUL",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.