Individual provider Active NPI

James E. Mock, MD

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1417046822
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
7780 Issued in NV
Practice address
2800 N Tenaya Way
Suite 202
Las Vegas, NV 89128-1100
Phone
(702) 255-8877
Fax
(702) 255-8813
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7780 NV
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 7780 NV Primary

Addresses

Primary practice location

2800 N Tenaya Way
Suite 202
Las Vegas, NV 89128-1100

Mailing address

700 E Silverado Ranch Blvd Ste 170
Las Vegas, NV 89183-7518
Phone (702) 240-6482

Other identifiers 1

IdentifierTypeStateIssuer
002019815MedicaidNV

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
I20120127000445 NV Practitioner - Cardiovascular Disease (Cardiology) 6406832344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Minnesota Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 N Buffalo Dr
Suite 100
Las Vegas, NV 89145-0397
Phone (702) 240-6482

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Heart and Vascular Center Resh LLP Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients
Nevada Heart and Vascular Center Resh LLP Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

56 N Pecos Rd
Ste B
Henderson, NV 89074
Phone (702) 724-8777

5795 Arville St
Ste 200
Las Vegas, NV 89118

500 E Windmill Ln
Ste 140
Las Vegas, NV 89123

2800 N Tenaya Way
Ste 202
Las Vegas, NV 89128
Phone (702) 255-8877

700 E Silverado Ranch Blvd
Ste 170
Las Vegas, NV 89183

401 N Buffalo Dr
Ste 100
Las Vegas, NV 89145
Phone (702) 489-9000

3150 N Tenaya Way
Ste 135
Las Vegas, NV 89128
Phone (702) 360-6100

2724 N Tenaya Way
#100
Las Vegas, NV 89128

Interoperability endpoints

  • Direct secure messaging: james.mock.1@29724.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1417046822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E SILVERADO RANCH BLVD STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837518",
            "telephone_number": "702-240-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N TENAYA WAY",
            "address_2": "SUITE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281100",
            "telephone_number": "702-255-8877",
            "fax_number": "702-255-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "JAMES",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "7780",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "7780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019815",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.