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DR. MIRACLE WANGSUWANA D.O.
NPI 1750377693
Psychiatry & Neurology - Neurology in North Las Vegas, NV

Active since September 26, 2005PECOS Enrolled
6900 NORTH PECOS ROAD, 2ND FLOOR WEST SIDE 2B152 VA SOUTHERN NEVADA, NORTH LAS VEGAS, NV 89086(702) 791-9161(702) 671-5891 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Miracle Wangsuwana D.o. NPPES

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

DR. MIRACLE WANGSUWANA D.O. (NPI 1750377693) is an individual neurology provider in North Las Vegas, Nevada, licensed in Nevada (1253) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750377693
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MIRACLE WANGSUWANACredential: D.O.
Location Address6900 NORTH PECOS ROAD, 2ND FLOOR WEST SIDE 2B152 VA SOUTHERN NEVADANorth Las Vegas, NV 89086
Mailing Address6900 North Pecos Road, 2nd Floor West Side 2b 152 Va Southern NevadaNorth Las Vegas, NV 89086 · (702) 791-9161 · Fax (702) 895-4014
Phone(702) 791-9161
Fax(702) 671-5891
Sole ProprietorYes
Enumeration DateSeptember 26, 2005
Last NPPES UpdateMay 28, 2024
NPPES CertifiedApril 18, 2022
✔ NPI 1750377693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NV · 1253
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
6900 NORTH PECOS ROAD, North Las Vegas, NV 89086
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Other Identifiers 1

Medicaid100500484NV

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. Miracle Wangsuwana D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89086 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
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.

JYOTIRMAYEE LENKA MD, MBBS
Internal Medicine (Pulmonary Disease)
6900 NORTH PECOS ROAD, DEPT OF PULMONARY, CRITICAL CARE AND SLEEP MEDICINE
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9000
DR. SARAH YELIM NAM AN PSY.D.
Psychologist
6900 NORTH PECOS ROAD
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9000
MR. JOSEPH OLYNN BLAN CRT
Respiratory Therapist, Certified
6900 NORTH PECOS ROAD
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9000
KOALANI SMITH PHARMD
Pharmacist
6900 NORTH PECOS ROAD
LAS VEGAS, NV 89086
Clark County (702) 791-9000
DR. MICHAEL JOSEPH VIGUE D.O.
Internal Medicine (Pulmonary Disease)
6900 NORTH PECOS ROAD
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9000
MRS. YVONNE LYNETTE BETHEA R.D.H
Dental Hygienist
6900 NORTH PECOS ROAD, ROOM 5D-215
LAS VEGAS, NV 89086
Clark County (702) 791-9000
NANCY TAYLOR LCSW
Social Worker (Clinical)
6900 NORTH PECOS ROAD
NORTH LAS VEGAS, NV 89086
Clark County (702) 791-9000
TAMMY LOUISE BEN-EFRAIM OTR/L
Occupational Therapist
6900 NORTH PECOS ROAD, VA SOUTHERN NEVADA HEALTHCARE
NORTH LAS VEGAS, NV 89086
Clark County (904) 687-3647

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 Miracle Wangsuwana's NPI number?

The NPI number for Miracle Wangsuwana is 1750377693. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Miracle Wangsuwana located?

Miracle Wangsuwana practices at 6900 North Pecos Road 2nd Floor West Side 2b152 VA Southern Nevada, North Las Vegas, NV 89086. The listed phone number is (702) 791-9161.

What is Miracle Wangsuwana's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Miracle Wangsuwana enrolled in Medicare?

Yes. Miracle Wangsuwana is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miracle Wangsuwana was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.