Noel R Fajardo, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

12053 Issued in NV

Practice address

3901 S Maryland Pkwy
Las Vegas, NV 89119-7537

Phone

(702) 982-7240

Fax

(702) 952-5444

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Gastroenterology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Noel R. Fajardo MD, PCGroup PAC ID 3971768540, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.21 of 100Reported as group

Quality

78.16

Improvement activities

40

Cost

75.17

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Noel R. Fajardo MD PC

  dba Las Vegas Gastroenterology

  • Specialist
  • Las Vegas, NV
  • NPI 1891056370
  Medicare reassignment Care Compare group Authorized official
• LV Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1225414246
  NPD (past) Authorized official
• Desert Springs Hospital

  dba Desert Springs Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Spring Valley Medical Center

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

  • Clinical Medical Laboratory
  • Rochester, MN
  • NPI 1083249577
  NPD (past)
• Olmsted Medical Center

  • General Acute Care Hospital
  • Rochester, MN
  • NPI 1538112131
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1255305520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 S. PECOS ROAD",
            "address_2": "STE. 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-982-7240",
            "fax_number": "702-952-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197537",
            "telephone_number": "702-982-7240",
            "fax_number": "702-952-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "NOEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MN",
            "license": "44964",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "12053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341790500",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511073",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aurora Fajardo
• Dennis Fajardo, PHYSICIAN ASSISTANT
• James Fajardo, RN
• Karla V Fajardo, NP
• Natalya Ann Fajardo, DC
• Rita Fajardo
• Roman Fajardo, M.D.
• Sharmaine Fajardo
• Mario Ian Fajet, MD
• JL Sateki Fakalata

• Gastroenterology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Gastroenterology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.