NPIMap

Individual provider Active NPI

Jay Prakash Mahajan, D.O.

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1053632992
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DO1862 Issued in NV
Practice address
2020 Wellness Way Ste 300
Las Vegas, NV 89106-4145
Phone
(702) 432-2233
Fax
(702) 800-5456
NPI assigned
Jun 15, 2010
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X SL0730 NV
Neurology Physician 2084N0400X DO1862 NV Primary

Addresses

Primary practice location

2020 Wellness Way Ste 300
Las Vegas, NV 89106-4145

Mailing address

1930 Village Center Cir Ste 306
Las Vegas, NV 89134-6299
Phone (702) 432-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141112002509 NV Practitioner - Neurology 5991927667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Janda Mahajan and Balsiger PLLCGroup PAC ID 7315257797, 32 clinicians

Practice addresses (Care Compare)

2020 Wellness Way
Suite 300
Las Vegas, NV 89106-4145
Phone (702) 432-2233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
SL0730NVMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Janda, Mahajan & Balsiger PLLC Neurology CurrentSince Sep 14, 2015 Accepting new patients
Janda, Mahajan & Balsiger PLLC Neurology Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

1930 Village Center Cir
Ste 3717
Las Vegas, NV 89134

2010 Wellness Way
Ste 306
Las Vegas, NV 89106

2020 Wellness Way
Ste 202
Las Vegas, NV 89106
Phone (702) 207-6611

2020 Wellness Way
Ste 300
Las Vegas, NV 89106
Phone (702) 477-7000

Interoperability endpoints

  • Direct secure messaging: drjaymahajan@lvnc.gwaydirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1053632992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR STE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346299",
            "telephone_number": "702-432-2233",
            "fax_number": "702-800-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-432-2233",
            "fax_number": "702-800-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "JAY",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "SL0730",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "DO1862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.