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ERIC MOLDESTAD MD NPI 1104018951


NPI Information

NPI: 1104018951
Provider Name: ERIC MOLDESTAD, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
2020 PALOMINO LANE
STE 100
LAS VEGAS, NV
ZIP 89106
Phone: (702) 759-8600
Get Directions

Eric Moldestad, MD is a diagnostic radiology radiology in Las Vegas, NV with 18 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Eric Moldestad, MD NPI is 1104018951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2006

The provider's business location address is:

2020 PALOMINO LANE
STE 100
LAS VEGAS, NV
ZIP 89106-894
Phone: (702) 759-8600
Fax: (702) 384-1815

The NPI 1104018951 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan chest (HCPCS:71250)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Ct scan of face (HCPCS:70486)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

The enumeration date for this NPI number is 8/15/2007 and was last updated on 8/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology14294NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200471140AMEDICAIDOKLAHOMA
2P01077444OTHERNEVADARAILROAD MEDICARE
3GE663ZMEDICARE PINNEVADA
41104018951MEDICAIDCALIFORNIA
5GE663XMEDICARE PINNEVADA
6GE663YMEDICARE PINNEVADA
7GE663WMEDICARE PINNEVADA
81104018951MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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