Organization Active NPI

Fawad and Associates Inc

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1407903115
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9524 Issued in NV
Legal business name
FAWAD AND ASSOCIATES INC
Practice address
9044 Thornbury LN
Las Vegas, NV 89134-6169
Phone
(702) 921-6829
Fax
(702) 921-6828
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Fawad Ahmed, MDNPI 1174571723
Title
Manager
Phone
(702) 921-6829

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 9524 NV Primary

Addresses

Primary practice location

9044 Thornbury LN
Las Vegas, NV 89134-6169

Mailing address

9044 Thornbury LN
Las Vegas, NV 89134-6169
Phone (702) 921-6829

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070301000495 NV Part B Supplier - Clinic/Group Practice 7719089283 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV; Henderson, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1407903115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9044 THORNBURY LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346169",
            "telephone_number": "702-921-6829",
            "fax_number": "702-921-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9044 THORNBURY LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346169",
            "telephone_number": "702-921-6829",
            "fax_number": "702-921-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAWAD AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "FAWAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-921-6829",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9524",
            "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 Nov 17, 2011; 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.