Jaldeep H Daulat, DO

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

363 Issued in NV

Practice address

3975 S Durango Dr Ste 107
Las Vegas, NV 89147-4156

Phone

(702) 628-5333

Fax

(702) 974-0440

NPI assigned

Jul 24, 2006

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV, AZ2 enrollments

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 2

Specialty

Dermatology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J H Daulat DO PCGroup PAC ID 0143502328, 5 clinicians

Linda Woodson Dermatology a Professional CorporationGroup PAC ID 8224282751, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.65 of 100Reported as group

Promoting interoperability

89

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

85.17 of 100Reported as group

Quality

74.51

Promoting interoperability

92

Improvement activities

40

Cost

82.72

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://westderm.mmi.prod.fhir.ema-api.com/fhir/r4/
• Direct secure messaging: jaldeepdaulat@tu.allscriptsdirect.net
• Direct secure messaging: jdaulat@westderm.emadirect.md

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.

• J H Daulat DO PC

  dba Mohave Dermatology

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1194268987
  Medicare reassignment Care Compare group NPD Authorized official
• Linda Woodson Dermatology, a Professional Corporation

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1023360625
  Medicare reassignment Care Compare group NPD
• J Robert West, M.D., Inc

  dba Las Vegas Skin and Cancer Clinics

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1295338416
  Medicare reassignment NPD
• Leavitt Medical Associates of Nevada PC

  • Dermatology Physician
  • Henderson, NV
  • NPI 1124436480
  Medicare reassignment NPD
• Thomas Dermatology

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1922279496

  AZ

  Medicare reassignment NPD
• J H Daulat DO PC

  dba Mohave Dermatology

  • Dermatology Physician
  • Mesquite, NV
  • NPI 1023554185
  NPD (past) Authorized official
• J H Daulat DO PC

  dba Mohave Dermatology

  • Dermatology Physician
  • Pahrump, NV
  • NPI 1821534983
  NPD (past) Authorized official
• Andrew Hall MD PLLC

  dba Relevium Pain Specialists

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1588121941
  NPD
• Las Vegas Skin and Cancer Clinics LTD

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1487687539
  NPD
• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  NPD
• Douglas a. Thomas, MD

  dba Thomas Dermatology

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1891897658
  NPD (past)
• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1346230323
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1114949492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 W SKYE CANYON PARK DR",
            "address_2": "SUITE 160 BOX 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89166",
            "telephone_number": "702-683-1727",
            "fax_number": "702-974-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 S DURANGO DR STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474156",
            "telephone_number": "702-628-5333",
            "fax_number": "702-974-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 MESQUITE AVE",
            "address_purpose": "LOCATION",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035668",
            "country_code": "US",
            "telephone_number": "928-453-2636",
            "fax_number": "702-974-0440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 E Calvada Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890483975",
            "country_code": "US",
            "telephone_number": "775-727-0900",
            "fax_number": "702-727-0902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Falcon Ridge Pkwy Ste 400-404",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890278850",
            "country_code": "US",
            "telephone_number": "702-346-5510",
            "fax_number": "702-346-2557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAULAT",
        "first_name": "JALDEEP",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-07-11",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NV",
            "license": "363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070012029",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070003254",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114949492",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ThomasDerm",
            "affiliation": "N",
            "address_1": "1801 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864035668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daulat LTD
• Daulat Medical Center
• Akshay Daulat, DO
• Gautam Daulat, D.O.
• Girish H Daulat, DO
• Shilpa Daulat
• Quinten Daulton
• Moseline Daumervil
• Joann Daun
• Karen Daun

• MOHS-Micrographic Surgery Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• MOHS-Micrographic Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.