COLIN RADABAUGH DO
NPI 1194416768
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Q: What is Colin Radabaugh's NPI number?

The NPI number for Colin Radabaugh is 1194416768. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Q: What is Colin Radabaugh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Colin Radabaugh was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since May 16, 2023PECOS Enrolled

6655 S CIMARRON RD STE 100, LAS VEGAS, NV 89113(702) 853-3561 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Colin Radabaugh Do NPPES

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

COLIN RADABAUGH DO (NPI 1194416768) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194416768

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCOLIN RADABAUGHCredential: DO

Location Address6655 S CIMARRON RD STE 100Las Vegas, NV 89113-2181

Mailing Address6655 S Cimarron Rd Ste 100Las Vegas, NV 89113-2181

Phone(702) 853-3561

Sole ProprietorNo

Enumeration DateMay 16, 2023

Last NPPES UpdateMay 18, 2023

NPPES CertifiedMay 18, 2023

✔ NPI 1194416768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6655 S CIMARRON RD STE 100, Las Vegas, NV 89113

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colin Radabaugh Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CHANDLER WILLIAMS

Student in an Organized Health Care Education/Training Program