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

Ricardo Mogollon, MD

Individual provider Internal Medicine Physician · NPI 1114993425

Ricardo Mogollon, MD is an Internal Medicine in Las Vegas, Nevada. Qualified in 1999, 27 years ago. Practices with Optum Medical Group II Rhodes P C, a 302-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
27
Licensed in
NV
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7061 Grand Montecito Pkwy
Las Vegas, NV 89149-0287
Phone: (702) 750-3900
Fax: (702) 750-3853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 10775 (NV)

Record details

NPI number1114993425
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Optum Medical Group Ii Rhodes P C — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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