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: October 18, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Neonatal-Perinatal Medicine
653 N TOWN CENTER DR STE 112
Las Vegas, NV 89144
  • Reassigned Medicare billing, Nevada enrollment
  • 150 clinicians in this Medicare group

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 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.

Which organization bills Medicare for Edmund Goroza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edmund Goroza reassigns Medicare benefits to Pokroy Medical Group Of Nevada, Ltd. (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 Edmund Goroza'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 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 8 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.