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

Dr. Roland Jayson Formoso Pua, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1215009782

Dr. Roland Jayson Formoso Pua, MD practises Internal Medicine in Las Vegas, Nevada. Qualified in 1999, 27 years ago. Practices with Medical Group LLC, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, California, Idaho and Nevada and 1 more.

Years since qualifying
27
Licensed in
AZ, CA, ID, NV, OR
In the registry since
2006
Specialties on file
5
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

9460 W Flamingo Rd Ste 120
Las Vegas, NV 89147-5742
Phone: (702) 638-7705
Fax: (702) 638-7706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1144 65th St Ste F, Oakland, CA 94608-1053 — (510) 929-1400
  • 781 Mill St, Reno, NV 89502-1320 — (775) 398-1980

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 12103 (NV)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 67340 (AZ)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence MD202126 (OR)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence C175306 (CA)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 15963 (ID)

Record details

NPI number1215009782
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Medical Group Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients162
Services billed 344 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Education $43 1 payment · educational material or training, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3 clinicians in the practice; 1 are shown here.

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