SAMUEL BAUZON MD
NPI 1417929464
Family Medicine in Las Vegas, NV

Q: What is Samuel Bauzon's NPI number?

The NPI number for Samuel Bauzon is 1417929464. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Q: What is Samuel Bauzon'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 Samuel Bauzon was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 February 03, 2006PECOS Enrolled

7061 GRAND MONTECITO PKWY, LAS VEGAS, NV 89149(702) 750-3800(702) 750-3808 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Samuel Bauzon Md NPPES

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

SAMUEL BAUZON MD (NPI 1417929464) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (10785) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417929464

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSAMUEL BAUZONCredential: MD

Location Address7061 GRAND MONTECITO PKWYLas Vegas, NV 89149-0287

Mailing AddressPo Box 15645Las Vegas, NV 89114-5645 · (702) 750-3800 · Fax (702) 750-3808

Phone(702) 750-3800

Fax(702) 750-3808

Sole ProprietorNo

Enumeration DateFebruary 3, 2006

Last NPPES UpdateJanuary 18, 2017

✔ NPI 1417929464 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 · 10785

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.

7061 GRAND MONTECITO PKWY, Las Vegas, NV 89149

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Other Identifiers 5

Medicare UPING03272

Medicare ID-Type Unspecified100071NV

Medicare PINFS980ZNV

Medicaid100504984NV

Medicaid100504979NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Bauzon Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Samuel Bauzon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Medical Group II Rhodes P C

5.9 mi

Internal Medicine

2704 N TENAYA WAY
Las Vegas, NV 89128

Reassigned Medicare billing, Nevada enrollment
608 clinicians in this Medicare group

NPI 1790329407 (702) 877-5199

Southwest Medical Associates, Inc

11 mi

Internal Medicine

888 S RANCHO DR
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
406 clinicians in this Medicare group

NPI 1659346005 (702) 877-8600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89149 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.

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.

CLARISSE GRANDE YU ASENSI

Nurse Practitioner