NPIMap

Individual provider Active NPI

Houry Arine Kahwajian-Mock, MD

  • Anesthesiology Physician
  • Henderson, NV
National Provider Identifier
1568719052
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18246 Issued in NV
Practice address
10120 S Eastern Ave #130
Henderson, NV 89052
Phone
(702) 487-6880
Fax
(702) 473-5455
NPI assigned
Aug 14, 2012
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A128432 CA
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 18246 NV Primary

Addresses

Primary practice location

10120 S Eastern Ave #130
Henderson, NV 89052

Mailing address

PO Box 400310
Las Vegas, NV 89140
Phone (310) 222-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160825002954 CA Practitioner - Anesthesiology 3274828496
I20190129003070 NV Practitioner - Anesthesiology 3274828496 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, Geffen School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128432CAMDMental Health Counselor
A128432CAMDAnesthesiology Physician
18246NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Nov 1, 2024 Accepting new patients
Valley Anesthesiology Consultants-Beckett-PLLC Anesthesiology CurrentSince Oct 1, 2018 Accepting new patients
Community Care Services LLC Current Accepting new patients
Parkhill Rahimzadeh Ellero Garol Mortensen Raman and Assoc PC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Community Care Services LLC Anesthesiology Past Accepting new patients

Locations

10120 S Eastern Ave
Ste 130
Henderson, NV 89052
Phone (702) 487-6880

10120 S Eastern Ave
Ste 230
Henderson, NV 89052
Phone (702) 487-6880

2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1568719052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400310",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89140",
            "telephone_number": "310-222-2700",
            "fax_number": "310-533-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE #130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-487-6880",
            "fax_number": "702-473-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHWAJIAN-MOCK",
        "first_name": "HOURY",
        "middle_name": "ARINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A128432",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "18246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.