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DOUGLAS A DOUGHERTY MD
NPI 1508072711
Radiology - Diagnostic Radiology in Las Vegas, NV

Active since May 15, 2007
2020 PALOMINO LANE, SUITE 100, LAS VEGAS, NV 89106(702) 759-8600(702) 384-1518 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas A Dougherty Md NPPES

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

DOUGLAS A DOUGHERTY MD (NPI 1508072711) is an individual diagnostic radiology provider in Las Vegas, Nevada, licensed in Nevada (16199) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1508072711
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDOUGLAS A DOUGHERTYCredential: MD
Location Address2020 PALOMINO LANE, SUITE 100Las Vegas, NV 89106-4894
Mailing Address2020 Palomino Lane, Suite 100Las Vegas, NV 89106-4894 · (702) 759-8600 · Fax (702) 384-1815
Phone(702) 759-8600
Fax(702) 384-1518
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateDecember 7, 2015
✔ NPI 1508072711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NV · 16199✔ Licensed in FL · RTN9896✔ Licensed in NV · SP377
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2020 PALOMINO LANE, Las Vegas, NV 89106
Open in Google Maps ↗

Other Identifiers 8

Other219592NC · Medcost
Other760158NC · Mamsi
Medicare PINP00432841NC
Medicare PIN2069210NC
Medicare PINNCD098E798NC
Medicare PINNCD098ANC
Other145U7NC · Bcbs Of Nc
Other153000500NC · Dol

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas A Dougherty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Douglas Dougherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shelin Agrawal And Hyer PLLC
8.6 mi
Diagnostic Radiology
657 N TOWN CENTER DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1861783961 (752) 210-5954

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%477 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%249 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JOSHUA ROSENBERG DO
Radiology (Diagnostic Radiology)
2020 PALOMINO LANE, STE # 100
LAS VEGAS, NV 89106
Clark County (702) 759-8600
DR. PERRY JAY HORWICH M.D.
Radiology (Diagnostic Radiology)
2020 PALOMINO LANE, STE # 100
LAS VEGAS, NV 89106
Clark County (702) 759-8600
DR. RICHARD LEE PENFIL M.D.
Radiology (Diagnostic Radiology)
2020 PALOMINO LANE, SUITE 100
LAS VEGAS, NV 89106
Clark County (702) 759-8600
ERIC MOLDESTAD MD
Radiology (Diagnostic Radiology)
2020 PALOMINO LANE, STE 100
LAS VEGAS, NV 89106
Clark County (702) 759-8600
MR. NEIL VINNY KAURA MD
Radiology (Diagnostic Radiology)
2020 PALOMINO LANE, STE # 100
LAS VEGAS, NV 89106
Clark County (702) 759-8600
TERENCE M SCIPIONE MD
Radiology (Diagnostic Radiology)
2020 PALOMINO LANE, SUITE 100
LAS VEGAS, NV 89106
Clark County (702) 759-8600
DR. SANDRA MAUREEN LEE D.O.
Radiology (Diagnostic Radiology)
2020 PALOMINO LANE, STE # 100
LAS VEGAS, NV 89106
Clark County (702) 759-8600
DR. ELAN DAHL BOMSZTYK MD
Radiology (Diagnostic Radiology)
2020 PALOMINO LANE, STE # 100
LAS VEGAS, NV 89106
Clark County (702) 759-8600

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 Douglas Dougherty's NPI number?

The NPI number for Douglas Dougherty is 1508072711. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Douglas Dougherty located?

Douglas Dougherty practices at 2020 Palomino Lane Suite 100, Las Vegas, NV 89106. The listed phone number is (702) 759-8600.

What is Douglas Dougherty's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Douglas Dougherty enrolled in Medicare?

Yes. Douglas Dougherty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Dougherty reassigns Medicare benefits to Shelin Agrawal And Hyer PLLC (Las Vegas, NV). The 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 Douglas Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Dougherty was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.