Organization · Type 2 NPI

Optum Medical Group Rhodes P C

Specialist · Las Vegas, NV

NPI number 1063458594 Active

Practice location

2010 Wellness Way Ste 200
Las Vegas, NV 89106-4142

Call (702) 877-0814 Map

Fax (702) 877-3238

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice locations

1655 E Cactus Ave Ste 3B, Las Vegas, NV 89183-7722 · (702) 724-8787

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 other providers at this address

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NPI record

NPI: 1063458594
Entity type: Organization (Type 2)
Issued: Jun 22, 2006
Last updated: Oct 30, 2025
Status: Active

Other names

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Urology Specialists of Nevada · doing business as
Urology Specialists of Nevada · doing business as

Authorized official

Emily Castillo
Associate Director Credentialing
(702) 579-3253

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063458594

Optum Medical Group Rhodes P C's National Provider Identifier is 1063458594, issued on Jun 22, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 30, 2025.