DIGNITY HEALTH ST. ROSE SPECIALTY CLINICS
NPI 1720358039
Neurological Surgery in Henderson, NV

Active since January 03, 2012CLIA 29D2163747 · Waiver
800 N GIBSON RD STE 101, HENDERSON, NV 89011(702) 616-5865 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2018, Mar 17, 2018, Feb 10, 2017 (3 updates tracked since 2017).

About Dignity Health St. Rose Specialty Clinics NPPES

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

DIGNITY HEALTH ST. ROSE SPECIALTY CLINICS (NPI 1720358039) is a healthcare organization registered as a neurological surgery in Henderson, Nevada and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through March 19, 2027, maintains 3 additional practice locations, and lists Melissa Walker, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1720358039
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameDIGNITY HEALTH
Location Address800 N GIBSON RD STE 101Henderson, NV 89011
Mailing Address3001 Saint Rose PkwyHenderson, NV 89052-3839 · (702) 616-6580 · Fax (702) 616-6584
Organization SubpartYes
Authorized OfficialMelissa WalkerChief Financial Officer · (702) 616-5507
Enumeration DateJanuary 3, 2012
Last NPPES UpdateJune 21, 20183 updates tracked since enumeration
✔ NPI 1720358039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
800 N GIBSON RD STE 101, Henderson, NV 89011

Other Names 1

Doing Business AsDignity Health St. Rose Specialty Clinics

Secondary Practice Locations 3

Location 110001 S Eastern Ave Ste 203Henderson, NV 89052-3908 · Phone (702) 616-5801 · Fax (702) 616-5895
Location 27190 S Cimarron RdLas Vegas, NV 89113-2171 · Phone (702) 675-3240 · Fax (702) 982-6347
Location 32865 Siena Heights Dr Ste 131Henderson, NV 89052-4168 · Phone (702) 616-6580 · Fax (702) 616-6584

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dignity Health St. Rose Specialty Clinics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Dignity Health St. Rose Specialty Clinics, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner12
Neurology3
Thoracic Surgery2
Cardiac Surgery1
Cardiovascular Surgery1
Family Practice1
Infectious Disease1
Neurosurgery1
1 other specialty1

Nearest to this location (20)

See all 23
Nurse Practitioner
NPI 1720508658
800 N GIBSON RD STE 201
Henderson, NV 89011
(702) 616-7650
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1427682061
10001 S EASTERN AVE STE 201
Henderson, NV 89052
(702) 616-5700
✔ PECOS✔ Accepts Medicare6.6 mi
Cardiovascular Surgery
NPI 1811975642
10001 S EASTERN AVE STE 201
Henderson, NV 89052
(702) 616-5700
✔ PECOS✔ Accepts Medicare6.6 mi
Neurology
NPI 1831483213
10001 S EASTERN AVE STE 203
Henderson, NV 89052
(702) 616-5801
✔ PECOS✔ Accepts Medicare6.6 mi
Nurse Practitioner
NPI 1659450641
10001 S EASTERN AVE STE 203
Henderson, NV 89052
(702) 616-5801
✔ PECOS6.6 mi
Neurology
NPI 1982707774
10001 S EASTERN AVE STE 203
Henderson, NV 89052
(702) 616-5915
✔ PECOS✔ Accepts Medicare6.6 mi
Pulmonary Disease
NPI 1396797973
10001 S EASTERN AVE STE 203
Henderson, NV 89052
(702) 616-5915
✔ PECOS✔ Accepts Medicare6.6 mi
Infectious Disease
NPI 1053792952
10001 S EASTERN AVE STE 203
Henderson, NV 89052
(702) 616-5915
✔ PECOS✔ Accepts Medicare6.6 mi
Neurosurgery
NPI 1972685212
2865 SIENA HEIGHTS DR STE 131
Henderson, NV 89052
(702) 616-6580
✔ PECOS6.7 mi
Nurse Practitioner
NPI 1629015193
2971 SAMMY DAVIS JR DR STE 130
Las Vegas, NV 89109
(702) 802-0243
✔ PECOS9.1 mi
Family Practice
NPI 1245267202
888 S. RANCHO BLVD.
Las Vegas, NV 89106
(702) 877-8339
✔ PECOS10 mi
Nurse Practitioner
NPI 1629327291
7190 S CIMARRON RD
Las Vegas, NV 89113
(702) 675-3240
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1700311859
7190 S CIMARRON RD
Las Vegas, NV 89113
(702) 675-3240
✔ PECOS✔ Accepts Medicare14 mi
Thoracic Surgery
NPI 1932498722
7190 S CIMARRON RD
Las Vegas, NV 89113
(702) 675-3240
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1679774657
7190 S CIMARRON RD
Las Vegas, NV 89113
(702) 675-3240
✔ PECOS✔ Accepts Medicare14 mi
Thoracic Surgery
NPI 1710014139
7190 S CIMARRON RD
Las Vegas, NV 89113
(702) 675-3240
✔ PECOS✔ Accepts Medicare14 mi
Cardiac Surgery
NPI 1609902279
7190 S CIMARRON RD
Las Vegas, NV 89113
(702) 675-3240
✔ PECOS14 mi
Nurse Practitioner
NPI 1083981955
8680 W CHEYENNE AVE
Las Vegas, NV 89129
(702) 579-3203
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1902387293
1520 SAN PABLO ST STE 3800
Los Angeles, CA 90033
(323) 442-5720
✔ PECOS✔ Accepts Medicare227 mi
Neurology
NPI 1932399243
8601 W EMERALD ST STE 176 8601 W EMERALD ST STE 176
Boise, ID 83704
(208) 793-7006
✔ PECOS✔ Accepts Medicare525 mi
See all 23 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2163747

Dignity Health Rehabilitation Hospital · Henderson, NV
Active · expires Mar 19, 2027
CLIA Number29D2163747
Laboratory TypeHospital
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorCasiano R. Flaviano III
Laboratory Phone(702) 726-2000
Laboratory LocationDignity Health Rehabilitation Hospital2930 Siena Heights Dr, Henderson, NV 89052
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Dignity Health's NPI number?

The NPI number for Dignity Health is 1720358039. It was assigned to this organization in the NPPES registry on January 3, 2012. The provider is doing business as Dignity Health St. Rose Specialty Clinics.

Where is Dignity Health located?

Dignity Health is located at 800 N Gibson Rd Ste 101, Henderson, NV 89011. The listed phone number is (702) 616-5865.

What is Dignity Health's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Dignity Health enrolled in Medicare?

Yes. Dignity Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dignity Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 9 Medicare specialties reassign their Medicare billing to Dignity Health. A 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 the clinician's services. The largest specialties are Nurse Practitioner (12), Neurology (3) and Thoracic Surgery (2). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dignity Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2163747) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dignity Health was last updated on June 21, 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.