GEORGE DALSUKE MOMII (M.D.) – Diagnostic Radiology Physician, NPI 1215937974
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
353 DIAGNOSTIC RADIOLOGY in NV
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Provider Addresses for GEORGE DALSUKE MOMII (M.D.)
McCarran International Airport, 5757, Wayne Newton Boulevard, Enterprise, Clark County, Nevada, 89154, United States
LAS VEGAS, NV 891336900
Phone: (702) 732-6000
Fax: (702) 243-7531
Type: Mailing
North Durango Drive, Centennial Hills, Las Vegas, Clark County, Nevada, 89149, United States
LAS VEGAS, NV 89149
Phone: (702) 732-6000
Fax: (702) 243-7531
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050808000215 | I | Diagnostic Radiology | NV | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 20,431 | 116 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 8,581 | 94 | $0 |
| 77067 | Screening mammography | 439 | 439 | $0 |
| 77063 | Screening 3d breast mammography | 438 | 438 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 247 | 247 | $0 |
Insurance plans in this area (ZIP 89133)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NV | 74177 | CT scan of abdomen and pelvis with contrast | 40 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NV | |
| - | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV |
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