Heather Kay Bacala, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

16589 Issued in NV

Practice address

6850 N Durango Dr Ste 401
Las Vegas, NV 89149-4598

Phone

(702) 463-2981

NPI assigned

Jun 27, 2012

Last updated

Jul 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Iriye Medical Group PLLCGroup PAC ID 2163415910, 61 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heather.bacala.1@20402.direct.athenahealth.com
• Direct secure messaging: heather.bacala.1@27017.direct.athenahealth.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Gordon McLemore Jr., MD

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
  • NPI 1477896702
  Medicare reassignment

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.

• Iriye Medical Group PLLC

  dba High Risk Pregnancy Center

  • Maternal & Fetal Medicine Physician
  • Las Vegas, NV
  • NPI 1467496240
  Medicare reassignment Care Compare group NPD
• Heather Bacala MD

  dba MyOBGYN

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
  • NPI 1215685136
  NPD Authorized official
• Anita Gondy, M.D., LTD

  dba The Ob-Gyn Center

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
  • NPI 1861439424
  NPD (past)
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1114281706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 401",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494598",
            "telephone_number": "702-463-2981",
            "fax_number": "702-463-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 401",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494598",
            "telephone_number": "702-463-2981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6850 N Durango Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494596",
            "country_code": "US",
            "telephone_number": "702-867-1726",
            "fax_number": "702-534-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACALA",
        "first_name": "HEATHER",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "16589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114281706",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Baca
• Jillian Eve Baca, LPN
• Joshua Baca, DPT
• Kristin Baca, DMD
• Ashley Bacab-Delacruz
• Jose Rosas Bacala, M.D.
• Ivette Maria Bacallao Llanio
• Belkis Bacallao Rodriguez
• Helianne Bacallao
• Olga Caridad Bacallao

• Obstetrics & Gynecology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Obstetrics & Gynecology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.