ASHLEY LIAN DORUELO – Obstetrics & Gynecology Physician, NPI 1033613732

ASHLEY LIAN DORUELO is a healthcare provider. based in Las vegas, Nevada. specializing in OBSTETRICS/GYNECOLOGY. They hold a License No. A178499 (CA). The NPI Number for ASHLEY LIAN DORUELO is 1033613732

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY LIAN DORUELO
NPI
1033613732
Phone
Not provided
Address
3100 N TENAYA WAY
Enumeration Date
19 March 2018
Last Update Date
19 September 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
6195152300
Graduation Year
2018 (8 years ago)
PAC ID
7214286137
Group Practice PAC ID
3476446378
Professional Enrollment ID
I20230313001129
Address ID
CA921132113SA1809XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

339 OBSTETRICS/GYNECOLOGY in NV

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Provider Addresses for ASHLEY LIAN DORUELO

  • MountainView Hospital, 3100, North Tenaya Way, Las Vegas, Clark County, Nevada, 89128, United States

    LAS VEGAS, NV 891280436

    Phone:

    Type: Mailing

  • 823 GATEWAY CENTER WAY

    SAN DIEGO, CA 921024541

    Phone:

    Type: Mailing

  • 1809 NATIONAL AVE

    SAN DIEGO, CA 921132113

    Phone: (619) 515-2300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $3,246.

Total Amount is formed as General ($3,246) + Research ($0) + Ownership ($0) = $3,246.

Last reported payment date: 2023-08-08 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,210).

Total Amount

$3,246

General + Research + Ownership

Payments

5

Total payment records

General Amount

$3,246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230313001129IObstetrics/GynecologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476446378View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineCA
Clinical Social WorkerCA
Family PracticeIL
Family PracticeCA
Sports Medicine, Physical Medicine And RehabilitationCA
Physician AssistantTX
P S Y C H I A T R YNJ
-CA
-MA
-CA

Reviews

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Frequently asked questions

What NPI should I save for ASHLEY LIAN DORUELO?
Save NPI 1033613732 if you need a stable reference for ASHLEY LIAN DORUELO.
Is ASHLEY LIAN DORUELO currently active in the NPI registry?
CMS-published data lists ASHLEY LIAN DORUELO as an active registrant.
What kind of provider is ASHLEY LIAN DORUELO?
The page reflects Obstetrics & Gynecology Physician for ASHLEY LIAN DORUELO. Clinical services aligned with this taxonomy classification.
What location shows for ASHLEY LIAN DORUELO?
We surface Las Vegas, Nevada for ASHLEY LIAN DORUELO based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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