NPIMap

Individual provider Active NPI

Ara Gueyikian, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1114986304
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10769 Issued in NV
Practice address
1621 S Eastern Ave
Las Vegas, NV 89104-3932
Phone
(702) 330-9887
Fax
(702) 446-2010
NPI assigned
Mar 17, 2006
Last updated
Sep 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10769 NV Primary

Addresses

Primary practice location

1621 S Eastern Ave
Las Vegas, NV 89104-3932

Mailing address

1621 S Eastern Ave
Las Vegas, NV 89104-3932
Phone (702) 330-9887

Other identifiers 1

IdentifierTypeStateIssuer
100502545MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1621 S Eastern Ave
Las Vegas, NV 89104-3932

4440 E Washington Ave
Suite 109
Las Vegas, NV 89110-5793

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10769NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care & Wellness Center LLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Nem-Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Ara Gueyikian MD LTD Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients
Nem-Care LLC Current Accepting new patients
Nem-Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Loving Soul Home Health, Inc. PastSince Jan 28, 2025 Accepting new patients
Tufail & Associates Internal Medicine Past Accepting new patients

Locations

1621 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 330-9887

1725 S Rainbow Blvd
Ste 1718
Las Vegas, NV 89146

4440 E Washington Ave
Ste 109
Las Vegas, NV 89110
Phone (702) 255-1114

855 E Twain Ave
Ste 103
Las Vegas, NV 89169
Phone (702) 591-3381

4090 W Craig Rd
Ste 102
North Las Vegas, NV 89032
Phone (702) 329-1710

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1114986304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043932",
            "telephone_number": "702-330-9887",
            "fax_number": "702-446-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043932",
            "telephone_number": "702-330-9887",
            "fax_number": "702-446-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEYIKIAN",
        "first_name": "ARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502545",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.