Active NPI
Matthew Hand, MD
- Dermatology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 21353
- Practice address
- 6170 N Durango Dr Ste 140
Las Vegas, NV 89149-3926 - Phone
- (702) 430-5333
- NPI assigned
- Mar 11, 2014
- Last updated
- Feb 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | UT | ||
| Dermatology Physician | 207N00000X | 64641 | AZ | |
| Dermatology Physician | 207N00000X | 21353 | NV | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 64641 | AZ | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 21353 | NV |
Addresses
Primary practice location
6170 N Durango Dr Ste 140
Las Vegas, NV 89149-3926
Mailing address
6170 N Durango Dr Ste 140
Las Vegas, NV 89149-3926
Phone (702) 430-5333
Other practice location 1
1801 Mesquite Ave
Lake Havasu City, AZ 86403-5668
Phone (928) 854-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Washington School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 Mesquite Ave
Lake Havasu City, AZ 86403-5668
Phone (928) 854-5400
9097 W Post Rd
Suite 100
Las Vegas, NV 89148-2417
Phone (702) 430-5333
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 118 |
| Removal of skin lesions | 147 |
| Removal of skin cancer | 1154 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64641 | AZ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaldeep H Daulat DO Professional Corporation | Dermatology | Past | Accepting new patients |
| Douglas a. Thomas, MD | Dermatology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Mojave Skin & Cancer Clinic
- Dermatology Physician
- Laughlin, NV
- NPI 1366544124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1598181828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6170 N DURANGO DR STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891493926",
"telephone_number": "702-430-5333",
"fax_number": "702-430-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6170 N DURANGO DR STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891493926",
"telephone_number": "702-430-5333"
}
],
"practiceLocations": [
{
"address_1": "1801 Mesquite Ave",
"address_purpose": "LOCATION",
"city": "Lake Havasu City",
"state": "AZ",
"postal_code": "864035668",
"country_code": "US",
"telephone_number": "928-854-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAND",
"first_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-11",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "UT",
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "64641",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NV",
"license": "21353",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "AZ",
"license": "64641",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NV",
"license": "21353",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Hand Surgery Specialists of Nevada Young LLP (Hand Surgery Specialists of Nevada)
- Hand Surgery Specialists of Nevada Young LLP (Hand Surgery Specialists of Nevada)
- Hand Surgery Specialists of Nevada Young LLP (Hand Surgery Specialists of Nevada)
- Hand Surgery Specialists of Nevada Young, LLP (Hand Surgery Specialists of Nevada)
- Darla Hand
- Rahul Rajiv Handa, M.D.
- Rana Handal
- Tracy Handcox
- Bruce H Handelman, M.D.
- Mark C Handelman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.