Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Agatha Matsos Formoso, MD

Pediatrics Physician in Las Vegas, NV · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124657036

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Agatha Matsos Formoso

Credential MD

Sex Female

Practice address 2650 N Tenaya Way # 308, Las Vegas, NV, 89128

Phone (702) 870-2099

Fax (702) 869-5347

Enumeration date Apr 2, 2020

Last updated in NPPES Nov 16, 2023

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 24172 (NV) Primary

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Agatha Formoso?

The National Provider Identifier (NPI) for Agatha Formoso is 1124657036, a Type 1 (individual) record in the CMS NPPES registry.

Where does Agatha Formoso practice?

The practice location on file with NPPES is in Las Vegas, NV. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

David Rafferty Pediatrics Physician · Las Vegas, NV NPI 1326400912

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-16.