DR. MIRACLE WANGSUWANA (D.O.) – Neurology Physician, NPI 1750377693
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MIRACLE WANGSUWANA (D.O.)
1701, West Charleston Boulevard, University Medical Center, Las Vegas, Clark County, Nevada, 89102, United States
215
LAS VEGAS, NV 891022325
Phone: (702) 671-5070
Fax: (702) 671-5072
Type: Mailing
1707, West Charleston Boulevard, Rancho Charleston, Las Vegas, Clark County, Nevada, 89102, United States
SUITE #220
LAS VEGAS, NV 891022351
Phone: (702) 671-5070
Fax: (702) 671-5072
Type: Location
6900 NORTH PECOS ROAD
2ND FLOOR WEST SIDE 2B 152 VA SOUTHERN NEVADA
NORTH LAS VEGAS, NV 89086
Phone: (702) 791-9161
Fax: (702) 895-4014
Type: Mailing
3016 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 891021973
Phone: (702) 780-2314
Fax: (702) 895-4014
Type: Mailing
1707 W CHARLESTON BLVD STE 290
LAS VEGAS, NV 891022353
Phone: (702) 671-5070
Fax: (702) 671-5891
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $2,138.
Total Amount is formed as General ($2,138) + Research ($0) + Ownership ($0) = $2,138.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($375).
Total Amount
$2,138
General + Research + Ownership
Payments
64
Total payment records
General Amount
$2,138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACADIA Pharmaceuticals Inc | $375 |
| Novartis Pharmaceuticals Corporation | $331 |
| ABBVIE INC. | $280 |
| EMD Serono, Inc. | $237 |
| SK Life Science, Inc. | $191 |
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: 2005-12-07
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 |
|---|---|---|---|---|
| I20051207000275 | I | Neurology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 17 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 89102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | NV | |
| - | NV | |
| Obstetrics/Gynecology, Family Practice | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV |
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