Active NPI
Michael A Fortunato, MD
- Anesthesiology Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 14625
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14625 | NV | MD | Anesthesiology Physician |
| MT195796 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Oasis, LLC | Anesthesiology | Current | Accepting new patients |
| Valley Anesthesiology Consultants-Beckett-PLLC | Anesthesiology | Current | Accepting new patients |
| Fielden Hanson Isaacs Miyada Robison Yeh LTD | Anesthesiology | Past | 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
- 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.
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1407586332
-
- Anesthesiology Physician
- Henderson, NV
- NPI 1437326857
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1699710749
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.