Individual provider Active NPI

Wassim Madi, MD

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1508842592
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
9271 Issued in NV
Practice address
7250 Peak Dr Ste 100
Las Vegas, NV 89128-9028
Phone
(702) 386-4700
Fax
(702) 386-4701
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 9271 NV Primary

Addresses

Primary practice location

7250 Peak Dr Ste 100
Las Vegas, NV 89128-9028

Mailing address

3157 N Rainbow Blvd # 518
Las Vegas, NV 89108-4578
Phone (702) 386-4700

Other identifiers 1

IdentifierTypeStateIssuer
002018503MedicaidNV

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
I20070925000069 NV Practitioner - Anesthesiology 7517051394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Southern California Keck School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Anesthesiology Partners LLPGroup PAC ID 0244338531, 6 clinicians
PBS Anesthesia LLCGroup PAC ID 7911090204, 42 clinicians

Practice addresses (Care Compare)

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000

7250 Peak Dr
Suite 100
Las Vegas, NV 89128-9028
Phone (702) 386-4700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PBS Anesthesia LLC CurrentSince Sep 1, 2007 Accepting new patients
Khamamkar Anesthesiology Consultants LTD Anesthesiology PastSince Aug 18, 2024 Accepting new patients
Anesthesiology Consulting Group, Inc Anesthesiology Past Accepting new patients
Dodd Hyer, M.D. LTD Anesthesiology Past Accepting new patients

Locations

3157 N Rainbow Blvd
Las Vegas, NV 89108

7250 Peak Dr
Ste 100
Las Vegas, NV 89128
Phone (702) 245-5960

2635 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 850-3003

2635 Box Canyon Dr
Bldg 4
Las Vegas, NV 89128

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508842592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N RAINBOW BLVD # 518",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084578",
            "telephone_number": "702-386-4700",
            "fax_number": "702-386-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 PEAK DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289028",
            "telephone_number": "702-386-4700",
            "fax_number": "702-386-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADI",
        "first_name": "WASSIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "9271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018503",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.