PUEBLO MEDICAL IMAGING, LLC
NPI 1952353591
Radiology - Diagnostic Radiology in Las Vegas, NV
About Pueblo Medical Imaging, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUEBLO MEDICAL IMAGING, LLC (NPI 1952353591) is a healthcare organization registered as a diagnostic radiology in Las Vegas, Nevada and active in the NPI registry since May 2006. The organization lists Micah K Nielsen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pueblo Medical Imaging, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
40Medicare enrollment records show 40 clinicians reassign Medicare billing to Pueblo Medical Imaging, LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 40Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pueblo Medical Imaging, LLC's NPI number?
The NPI number for Pueblo Medical Imaging, LLC is 1952353591. It was assigned to this organization in the NPPES registry on May 16, 2006.
Where is Pueblo Medical Imaging, LLC located?
Pueblo Medical Imaging, LLC is located at 5495 S Rainbow Blvd Ste 101, Las Vegas, NV 89118. The listed phone number is (702) 228-0031.
What is Pueblo Medical Imaging, LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Pueblo Medical Imaging, LLC enrolled in Medicare?
Yes. Pueblo Medical Imaging, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pueblo Medical Imaging, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 4 Medicare specialties reassign their Medicare billing to Pueblo Medical Imaging, LLC. 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 Diagnostic Radiology (33), Nuclear Medicine (3) and Interventional Radiology (2). Of these, 9 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pueblo Medical Imaging, LLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Pueblo Medical Imaging, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pueblo Medical Imaging, LLC was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Pueblo Medical Imaging, Llc · NPI 1952353591
Diagnostic Radiology organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since May 16, 2006.
## Identity
- **NPI:** 1952353591 (Entity type: Organization)
- **Enumerated:** May 16, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Micah Nielsen, PRESIDENT
## Practice location
- **Address:** 5495 S RAINBOW BLVD STE 101, Las Vegas, NV 89118-1872
- **Phone:** (702) 228-0031
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 40 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (33), Nuclear Medicine (3), Interventional Radiology (2); 9 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1952353591/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2026
- **Other identifiers:** Other NV1651 (NV); Medicaid 100500056 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1952353591) · Data from the CMS NPPES public registry.