ERIC MOLDESTAD MD NPI 1104018951

NPI Information

  • NPI: 1104018951
  • Provider Name: ERIC MOLDESTAD, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2020 PALOMINO LANE
    STE 100
    LAS VEGAS, NV
    ZIP 89106
  • Phone: (702) 759-8600

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NPI Details

Eric Moldestad, MD is a diagnostic radiology radiology in Las Vegas, NV with 19 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Eric Moldestad, MD NPI is 1104018951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2006

The provider's business location address is:

2020 PALOMINO LANE
STE 100
LAS VEGAS, NV
ZIP 89106-894
Phone: (702) 759-8600
Fax: (702) 384-1815

The NPI 1104018951 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Review by radiologist of abdominal artery image (HCPCS:75726)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Review by radiologist of additional artery image (HCPCS:75774)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of face without contrast (HCPCS:70486)
  • Insertion of tube into abdominal, pelvic, or leg artery, each first order branch (HCPCS:36245)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Occlusion of artery or vein bleeding with review by radiologist (HCPCS:37244)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Placement of tube of kidney using imaging guidance with review by radiologist (HCPCS:50432)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ultrasound scan of transplanted kidney (HCPCS:76776)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Placement of locating device in breast using imaging guidance, first growth (HCPCS:19281)
  • Insertion of vena cava filter with review by radiologist (HCPCS:37191)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of surgical specimen (HCPCS:76098)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 8/15/2007 and was last updated on 8/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology14294NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200471140AMEDICAIDOKLAHOMA
2P01077444OTHERNEVADARAILROAD MEDICARE
3GE663ZMEDICARE PINNEVADA
41104018951MEDICAIDCALIFORNIA
5GE663XMEDICARE PINNEVADA
6GE663YMEDICARE PINNEVADA
7GE663WMEDICARE PINNEVADA
81104018951MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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