Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Puopolo, DO

Individual provider Diagnostic Radiology Physician · NPI 1154556314

Justin Puopolo, DO is a Diagnostic Radiology in Las Vegas, Nevada. Qualified in 2009, 17 years ago. Practices with J Paul Wiesner and Associates Chartered, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
17
Licensed in
NV
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5495 S Rainbow Blvd Ste 101
Las Vegas, NV 89118-1872
Phone: (702) 477-0772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5100 W Broad St, Columbus, OH 43228-1607 — (614) 544-1000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence DO1947 (NV)

Record details

NPI number1154556314
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 18, 2009
Last updated in NPPESOctober 20, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesNUCLEAR MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice J Paul Wiesner And Associates Chartered — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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