DR. IRENE MARY BOURGAULT D.O.
NPI 1164562120
Family Medicine in Las Vegas, NV

Q: What is Irene Bourgault's NPI number?

The NPI number for Irene Bourgault is 1164562120. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Q: What is Irene Bourgault's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Irene Bourgault was last updated on November 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment

3150 N TENAYA WAY, 660, LAS VEGAS, NV 89128(702) 648-6228(702) 648-9868 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Irene Mary Bourgault D.o. NPPES

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

DR. IRENE MARY BOURGAULT D.O. (NPI 1164562120) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (350) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1164562120

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. IRENE MARY BOURGAULTCredential: D.O.

Location Address3150 N TENAYA WAY, 660Las Vegas, NV 89128-0443

Mailing Address3150 N Tenaya Way, 660Las Vegas, NV 89128-0443 · (702) 648-6228 · Fax (702) 648-9868

Phone(702) 648-6228

Fax(702) 648-9868

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateFebruary 7, 2007

Last NPPES UpdateNovember 14, 2012

✔ NPI 1164562120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · 350

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.

3150 N TENAYA WAY, Las Vegas, NV 89128

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Other Identifiers 2

Medicare ID-Type UnspecifiedV32710NV

Medicaid002002873NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Irene Mary Bourgault D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820026032

PECOS Enrollment IDI20110107000329

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

182 services51 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

48 services48 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

47 services47 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. COURTNEY MICHAELENE SMITH MA

Audiologist

3150 N TENAYA WAY, SUITE 112
LAS VEGAS, NV 89128

Clark County (702) 562-1777

CHINO MD LTD

Surgery (Vascular Surgery)

3150 N TENAYA WAY, STE 560
LAS VEGAS, NV 89128

Clark County (702) 233-8346

LORI O'TOOLE NP

Internal Medicine (Cardiovascular Disease)

3150 N TENAYA WAY, SUITE320
LAS VEGAS, NV 89128

Clark County (702) 240-6482

DR. ALI R RAHIMI MD

Internal Medicine

3150 N TENAYA WAY, SUITE 271
LAS VEGAS, NV 89128

Clark County (702) 562-5765

RICHARD WAYNE KLATT DO

Pediatrics

3150 N TENAYA WAY, STE 255
LAS VEGAS, NV 89128

Clark County (702) 870-2099

DR. WILLIAM H RESH MD

Internal Medicine (Cardiovascular Disease)

3150 N TENAYA WAY, SUITE 320
LAS VEGAS, NV 89128

Clark County (702) 240-6482

MRS. DANIELLE E. KNOEPPEL MS

Audiologist

3150 N TENAYA WAY, #140
LAS VEGAS, NV 89128

Clark County (702) 671-6481

DR. GREGORY A KAPELA DDS

Dentist (General Practice)

3150 N TENAYA WAY
LAS VEGAS, NV 89128

Clark County (702) 869-0369

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 Irene Bourgault's NPI number?

The NPI number for Irene Bourgault is 1164562120. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Irene Bourgault located?

Irene Bourgault practices at 3150 N Tenaya Way 660, Las Vegas, NV 89128. The listed phone number is (702) 648-6228.

What is Irene Bourgault's specialty?

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

Is Irene Bourgault enrolled in Medicare?

Yes. Irene Bourgault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Irene Bourgault was last updated on November 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.