DR. EDMUND REYES GOROZA M.D.
NPI 1629252457
Pediatrics in Las Vegas, NV

Active since December 28, 2007PECOS Enrolled
10105 BANBURRY CROSS DR STE 170, LAS VEGAS, NV 89144(702) 765-5437 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edmund Reyes Goroza M.d. NPPES

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

DR. EDMUND REYES GOROZA M.D. (NPI 1629252457) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Nevada (14909) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1629252457
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. EDMUND REYES GOROZACredential: M.D.
Location Address10105 BANBURRY CROSS DR STE 170Las Vegas, NV 89144
Mailing Address12273 Catanzaro Ave Apt ALas Vegas, NV 89138-4625 · (718) 866-8204
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 28, 2007
Last NPPES UpdateAugust 30, 2018
NPI 1629252457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NV · 14909
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 244278-1 (NY), 25MA08273000 (NJ)
10105 BANBURRY CROSS DR STE 170, Las Vegas, NV 89144

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Edmund Reyes Goroza M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305910753
PECOS Enrollment IDI20131227000193
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89144 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 4

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

Physician Assistant
10105 BANBURRY CROSS DR STE 170
LAS VEGAS, NV 89144
Pediatrics
10105 BANBURRY CROSS DR STE 170
LAS VEGAS, NV 89144
Pediatrics
10105 BANBURRY CROSS DR STE 170
LAS VEGAS, NV 89144
Pediatrics
10105 BANBURRY CROSS DR STE 170
LAS VEGAS, NV 89144

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 Edmund Goroza's NPI number?

The NPI number for Edmund Goroza is 1629252457. It was assigned to this individual provider in the NPPES registry on December 28, 2007.

Where is Edmund Goroza located?

Edmund Goroza practices at 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144. The listed phone number is (702) 765-5437.

What is Edmund Goroza's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Edmund Goroza enrolled in Medicare?

Yes. Edmund Goroza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edmund Goroza was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.