NPIMap

Individual provider Active NPI

Ajeet Mahendernath, MD

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1073522371
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9464 Issued in NV
Practice address
2505 Anthem Village Dr # E-603
Henderson, NV 89052-5505
Phone
(702) 453-3799
Fax
(702) 453-5741
NPI assigned
Aug 5, 2006
Last updated
May 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9464 NV Primary

Addresses

Primary practice location

2505 Anthem Village Dr # E-603
Henderson, NV 89052-5505

Mailing address

2505 Anthem Village Dr # E-603
Henderson, NV 89052-5505
Phone (702) 453-3799

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
I20060224000356 NV Practitioner - Emergency MedicinePractitioner - Family Practice 6507872777 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Nevada School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Bee Ririe HospitalGroup PAC ID 9335051747, 40 clinicians
Hoover Emergency Physicians LLCGroup PAC ID 0648450296, 17 clinicians

Practice addresses (Care Compare)

1500 Ave H
Ely, NV 89301-2615
Phone (775) 289-3612

901 Adams Blvd
Boulder City, NV 89005-2213
Phone (954) 939-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
37.4 of 100Reported as group
Quality
27.48
Improvement activities
0
Cost
71.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoover Emergency Physicians LLC CurrentSince Jul 18, 2025 Accepting new patients
Battle Mountain General Hospital CurrentSince Oct 28, 2022 Accepting new patients
Battle Mountain General Hospital CurrentSince Oct 28, 2022 Accepting new patients
William Bee Ririe Hospital CurrentSince May 6, 2017 Accepting new patients
Battle Mountain General Hospital Current Accepting new patients
William Bee Ririe Retail Pharmacy CurrentSince May 6, 2017 Accepting new patients

Locations

535 S Humboldt St
Battle Mtn, NV 89820
Phone (775) 635-2424

901 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-4111

1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001

Interoperability endpoints

  • Direct secure messaging: ajeet_mahendernath_md@yourcarecommunity.org
  • Direct secure messaging: ajeet.mahendernath.1@18353.direct.athenahealth.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 5

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1073522371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ANTHEM VILLAGE DR # E-603",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525505",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 ANTHEM VILLAGE DR # E-603",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525505",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHENDERNATH",
        "first_name": "AJEET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.