21st Century Oncology – Radiation Oncology Physician, NPI 1295703346
Radiation Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for 21st Century Oncology
6160 S Fort Apache Rd
Las Vegas, NV 891486702
Phone: (702) 730-5480
Fax: (702) 730-5495
Type: Location
52 N Pecos Rd
Henderson, NV 890747319
Phone: (702) 990-4761
Fax: (702) 947-5068
Type: Location
PO BOX 745059
LOS ANGELES, CA 900745059
Phone: (702) 508-9944
Fax: (702) 508-9944
Type: Mailing
2851 N TENAYA WAY STE 100
LAS VEGAS, NV 891280453
Phone: (702) 243-3340
Fax: (702) 228-4724
Type: Location
2160, Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States
FORT MYERS, FL 339071410
Phone: (239) 931-7342
Fax: (239) 931-7385
Type: Mailing
South Maryland Parkway, Downtown Las Vegas, Las Vegas, Clark County, Nevada, 89102, United States
LAS VEGAS, NV 891092219
Phone: (702) 894-5100
Fax: (702) 894-5108
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: 2005-05-25
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 |
|---|---|---|---|---|
| O20050525001333 | O | Clinic/Group Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89148)
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