NPIMap

Individual provider Active NPI

Mohamad Fayad, DO

  • Vascular Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1053793398
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
DO3110 Issued in NV
Practice address
3196 S Maryland Pkwy Ste 405
Las Vegas, NV 89109-2318
Phone
(702) 707-6960
NPI assigned
Jun 23, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X DO3110 NV Primary

Addresses

Primary practice location

3196 S Maryland Pkwy Ste 405
Las Vegas, NV 89109-2318

Mailing address

3196 S Maryland Pkwy Ste 405
Las Vegas, NV 89109-2318
Phone (702) 707-6960

Other practice location 1

263 Farmington Ave
Farmington, CT 06030-3487
Phone (860) 679-2147

Other practice location 2

27 Ridge Rd
Wethersfield, CT 06109-1062
Phone (313) 623-1303

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
I20220627002807 NV Practitioner - NeurologyPractitioner - Neurosurgery 5890091276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Neurosurgery
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vascular Neurology Las Vegas LLCGroup PAC ID 1355736646, 9 clinicians

Practice addresses (Care Compare)

3201 S Maryland Pkwy
Suite 318
Las Vegas, NV 89109-2425
Phone (702) 707-6960

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Neurology Las Vegas LLC Vascular Neurology CurrentSince Jul 15, 2022 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients

Locations

3196 S Maryland Pkwy
Ste 405
Las Vegas, NV 89109
Phone (702) 707-6960

3201 S Maryland Pkwy
Ste 318
Las Vegas, NV 89109
Phone (702) 629-7490

Interoperability endpoints

  • Direct secure messaging: mohamad.fayad@200733209001988.direct.elationemr.com

Organizations & group practices 3

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

Hospital & facility affiliations 6

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1053793398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 405",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092318",
            "telephone_number": "702-707-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 405",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092318",
            "telephone_number": "702-707-6960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060303487",
            "country_code": "US",
            "telephone_number": "860-679-2147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wethersfield",
            "state": "CT",
            "postal_code": "061091062",
            "country_code": "US",
            "telephone_number": "313-623-1303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAYAD",
        "first_name": "MOHAMAD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NV",
            "license": "DO3110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.