Individual provider Active NPI

Mustafa M Rawaf, DO

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1114241973
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO1733 Issued in NV
Practice address
8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138
Phone
(702) 790-2701
NPI assigned
Mar 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO1733 NV Primary

Addresses

Primary practice location

8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138

Mailing address

660 S Green Valley Pkwy., Suite 140
Henderson, NV 89052-1964
Phone (702) 790-2701

Other practice location 1

2040 W Charleston Blvd
Las Vegas, NV 89102-2227
Phone (702) 671-6469

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
I20141231001298 NV Practitioner - Psychiatry 0244553022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Western University of Health Sciences College of Dental Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

660 S Green Valley Pkwy
Suite 140
Henderson, NV 89052-0431
Phone (702) 790-2701

Hospital & facility affiliations

  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada Current Accepting new patients
Southern Nevada Adult Mental Health CurrentSince May 1, 2015 Accepting new patients
Focus Mental Health Solutions Bhushan Wirjo Itzhaki Still PLLC Psychiatry CurrentSince Nov 1, 2014 Accepting new patients
State of Nevada CurrentSince May 1, 2015 Accepting new patients
Bhushan Manjooran Wirjo & Associates PLLC Psychiatry Past Accepting new patients
Seven Hills Hospital, LLC Past Accepting new patients
Unlv Medicine Past Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

660 S Green Valley Pkwy
Ste 140
Henderson, NV 89052
Phone (702) 704-3266

3016 W Charleston Blvd
Ste 150
Las Vegas, NV 89102
Phone (702) 412-9077

8950 W Tropicana Ave
Ste 1
Las Vegas, NV 89147
Phone (702) 240-8639

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1114241973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S GREEN VALLEY PKWY., SUITE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890521964",
            "telephone_number": "702-790-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W TROPICANA AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478138",
            "telephone_number": "702-790-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022227",
            "country_code": "US",
            "telephone_number": "702-671-6469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAWAF",
        "first_name": "MUSTAFA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO1733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.