Individual provider Active NPI

Mekdelawit Aschenaki, MD

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1063679249
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
15393 Issued in NV
Practice address
10040 Alta Dr
Las Vegas, NV 89145-8613
Phone
(702) 360-7600
Fax
(702) 363-3814
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 15393 NV Primary

Addresses

Primary practice location

10040 Alta Dr
Las Vegas, NV 89145-8613

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

10105 Banbury Cross Dr Ste 250
Las Vegas, NV 89144-6648
Phone (702) 360-7600

Other identifiers 2

IdentifierTypeStateIssuer
0267736OtherWALABOR AND INDUSTRIES
2009815MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141105002616 NV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103942016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Rush Medical College of Rush University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10105 Banburry Cross Dr
Suite 250
Las Vegas, NV 89144-6648
Phone (702) 360-7600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients
Intermountain Medical Holdings Nevada Inc Cardiovascular Disease CurrentSince Jan 1, 2022 Accepting new patients
MMC of Nevada LLC Past Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients

Locations

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

10040 Alta Dr
Ste 350
Las Vegas, NV 89145
Phone (702) 360-7600

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

10105 Banbury Cross Dr
Ste 250
Las Vegas, NV 89144
Phone (702) 360-7600

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: maschena@yourcarecommunity.org
  • Direct secure messaging: mekdelawitaschenaki@hcpnv.allscriptsdirect.net

Organizations & group practices 5

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 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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1063679249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 ALTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458613",
            "telephone_number": "702-360-7600",
            "fax_number": "702-363-3814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10105 Banbury Cross Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446648",
            "country_code": "US",
            "telephone_number": "702-360-7600",
            "fax_number": "702-363-3814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASCHENAKI",
        "first_name": "MEKDELAWIT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "15393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0267736",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009815",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.