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CHARLESTON CHUA MD MEDICAL SPA PLLC
NPI 1013755362
Family Medicine in Las Vegas, NV

Active since July 18, 2024
4270 S DECATUR BLVD STE A1, LAS VEGAS, NV 89103(725) 529-2482(725) 215-9015 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 28, 2025, Jul 24, 2024, Jul 18, 2024 (3 updates tracked since 2024).

About Charleston Chua Md Medical Spa Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLESTON CHUA MD MEDICAL SPA PLLC (NPI 1013755362) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since July 2024. The organization lists Charleston Chua, Owner, as its authorized official.

NPPES Registry Identity

NPI1013755362
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHARLESTON CHUA MD MEDICAL SPA PLLC
Location Address4270 S DECATUR BLVD STE A1Las Vegas, NV 89103-6801
Mailing Address4270 S Decatur Blvd Ste B1bLas Vegas, NV 89103-6802 · (725) 529-2482
Phone(725) 529-2482
Fax(725) 215-9015
Organization SubpartNo
Authorized OfficialCharleston ChuaOwner · (702) 460-6009
Enumeration DateJuly 18, 2024
Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1013755362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4270 S DECATUR BLVD STE A1, Las Vegas, NV 89103
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charleston Chua Md Medical Spa Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Charleston Chua MD Medical Spa PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Johnny Chua, NURSE PRACTITIONER
Nurse Practitioner
NPI 1891269734
3150 N TENAYA WAY STE 260
Las Vegas, NV 89128
(702) 962-5920
✔ PECOS✔ Accepts Medicare7.6 mi
Charleston Chua, M.D.
Plastic and Reconstructive Surgery
NPI 1881937449
8200 LA MESA BLVD
La Mesa, CA 91942
(858) 699-0707
✔ PECOS✔ Accepts Medicare253 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charleston Chua MD Medical Spa PLLC's NPI number?

The NPI number for Charleston Chua MD Medical Spa PLLC is 1013755362. It was assigned to this organization in the NPPES registry on July 18, 2024.

Where is Charleston Chua MD Medical Spa PLLC located?

Charleston Chua MD Medical Spa PLLC is located at 4270 S Decatur Blvd Ste A1, Las Vegas, NV 89103. The listed phone number is (725) 529-2482.

What is Charleston Chua MD Medical Spa PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charleston Chua MD Medical Spa PLLC enrolled in Medicare?

Yes. Charleston Chua MD Medical Spa PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charleston Chua MD Medical Spa PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Charleston Chua MD Medical Spa PLLC, in Nurse Practitioner and Plastic and Reconstructive Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Charleston Chua MD Medical Spa PLLC was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.