Individual provider Active NPI

Michael A Fortunato, MD

  • Anesthesiology Physician
  • Henderson, NV
National Provider Identifier
1083844187
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
14625 Issued in NV
Practice address
Valley Anesthesiology Consultants
10120 S. Eastern Ave., Suite 130
Henderson, NV 89052
Phone
(702) 487-6510
Fax
(702) 405-7960
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MT195796 PA
Anesthesiology Physician 207L00000X 14625 NV Primary

Addresses

Primary practice location

Valley Anesthesiology Consultants
10120 S. Eastern Ave., Suite 130
Henderson, NV 89052

Mailing address

Valley Anesthesiology Consultants
10120 S. Eastern Ave., Suite 130
Henderson, NV 89052
Phone (702) 487-6510

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
I20130705000246 NV Practitioner - Anesthesiology 1254571763 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14625NVMDAnesthesiology Physician
MT195796PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Oasis, LLC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Valley Anesthesiology Consultants-Beckett-PLLC Anesthesiology CurrentSince Jul 7, 2014 Accepting new patients
Fielden Hanson Isaacs Miyada Robison Yeh LTD Anesthesiology PastSince Jul 1, 2013 Accepting new patients

Locations

10120 S Eastern Ave
Ste 130
Henderson, NV 89052
Phone (702) 487-6880

2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900

6402 McLeod Dr
Ste 2
Las Vegas, NV 89120
Phone (702) 325-1711

Interoperability endpoints

  • Direct secure messaging: mfortunato13120@direct.umcsn.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.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1083844187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VALLEY ANESTHESIOLOGY CONSULTANTS",
            "address_2": "10120 S. EASTERN AVE., SUITE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-487-6510",
            "fax_number": "702-405-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VALLEY ANESTHESIOLOGY CONSULTANTS",
            "address_2": "10120 S. EASTERN AVE., SUITE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-487-6510",
            "fax_number": "702-405-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNATO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MT195796",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "14625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.