NPIMap

Organization Active NPI

Vascular Neurology Las Vegas LLC

  • Vascular Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1366193716
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
Legal business name
VASCULAR NEUROLOGY LAS VEGAS LLC
Practice address
3196 S Maryland Pkwy Ste 405
Las Vegas, NV 89109-2318
Phone
(702) 707-6960
Fax
(702) 707-6956
NPI assigned
Jan 17, 2022
Last updated
May 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Muhammad Asif Taqi, MDNPI 1013123280
Title
Owner
Phone
(805) 242-4488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X Primary

Addresses

Primary practice location

3196 S Maryland Pkwy Ste 405
Las Vegas, NV 89109-2318

Mailing address

3196 S Maryland Pkwy Ste 405
Las Vegas, NV 89109-2318
Phone (702) 707-6960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220323002964 NV Part B Supplier - Clinic/Group Practice 1355736646 Receives reassigned benefits from 13 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

3196 S Maryland Pkwy
Ste 405
Las Vegas, NV 89109
Phone (702) 707-6960

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1366193716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 405",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092318",
            "telephone_number": "702-707-6960",
            "fax_number": "702-707-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 405",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092318",
            "telephone_number": "702-707-6960",
            "fax_number": "702-707-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR NEUROLOGY LAS VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "TAQI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ASIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-242-4488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.