Individual provider Active NPI

Annette F Mayes, MD

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1144271933
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7200 Issued in NV
Practice address
700 Shadow LN
Suite 165
Las Vegas, NV 89106-4126
Phone
(702) 522-9640
Fax
(702) 522-9641
NPI assigned
May 15, 2006
Last updated
Aug 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7200 NV Primary

Addresses

Primary practice location

700 Shadow LN
Suite 165
Las Vegas, NV 89106-4126

Mailing address

700 Shadow LN
Suite 165
Las Vegas, NV 89106
Phone (702) 522-9640

Other identifiers 1

IdentifierTypeStateIssuer
002019271MedicaidNV

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
I20050928000011 NV Practitioner - Obstetrics/Gynecology 4789630799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, San Diego School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlv MedicineGroup PAC ID 4183991458, 177 clinicians

Practice addresses (Care Compare)

1707 W Charleston Blvd
Suite 220
Las Vegas, NV 89102-2353
Phone (702) 671-6412

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Annette F Mayes MD a Professional Corporation CurrentSince Jan 1, 1990 Accepting new patients
Unlv Medicine CurrentSince Oct 1, 2023 Accepting new patients
Unlv Medicine CurrentSince Oct 1, 2023 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

1707 W Charleston Blvd
Ste 220
Las Vegas, NV 89102
Phone (702) 671-5070

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

700 Shadow Ln
Ste 165
Las Vegas, NV 89106
Phone (702) 522-9640

Interoperability endpoints

  • Direct secure messaging: amayes12943@direct.umcsn.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1144271933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN",
            "address_2": "SUITE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-522-9640",
            "fax_number": "702-522-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN",
            "address_2": "SUITE 165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064126",
            "telephone_number": "702-522-9640",
            "fax_number": "702-522-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "ANNETTE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "7200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019271",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.