Organization Active NPI

Ara Gueyikian MD LTD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1477619013
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10769 Issued in NV
Legal business name
ARA GUEYIKIAN MD LTD
Practice address
2701 N Tenaya Way
Suite 240
Las Vegas, NV 89128-0478
Phone
(702) 696-8069
Fax
(702) 446-2010
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Chris Houston
Title
Credentialer
Phone
(702) 250-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 10769 NV Primary

Addresses

Primary practice location

2701 N Tenaya Way
Suite 240
Las Vegas, NV 89128-0478

Mailing address

PO Box 751681
Las Vegas, NV 89136-1681
Phone (702) 696-8069

Other identifiers 1

IdentifierTypeStateIssuer
100902545MedicaidNV

National Provider Directory

National Provider Directory

Locations

1621 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 330-9887

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1477619013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751681",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891361681",
            "telephone_number": "702-696-8069",
            "fax_number": "702-446-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N TENAYA WAY",
            "address_2": "SUITE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280478",
            "telephone_number": "702-696-8069",
            "fax_number": "702-446-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA GUEYIKIAN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "702-250-0000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100902545",
            "state": "NV"
        }
    ],
    "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 Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.