NPIMap

Individual provider Active NPI

Faisal Ahmed Suba, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1598965998
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
13792 Issued in NV
Practice address
3014 W Charleston Blvd Ste 130
Las Vegas, NV 89102-0083
Phone
(702) 671-6475
Fax
(702) 671-6440
NPI assigned
Jul 23, 2007
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X LL1746 NV
Psychiatry Physician 2084P0800X 13792 NV Primary

Addresses

Primary practice location

3014 W Charleston Blvd Ste 130
Las Vegas, NV 89102-0083

Mailing address

3016 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1973

Other practice location 1

2040 W Charleston Blvd Ste 202A
Las Vegas, NV 89102-2206
Phone (702) 671-6475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 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
I20120529000223 NV Practitioner - Psychiatry 9234392341 Reassigns benefits to 5 organizations
I20221020002117 AZ Practitioner - Psychiatry 9234392341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York at Stony Brook, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unlv MedicineGroup PAC ID 4183991458, 177 clinicians

Practice addresses (Care Compare)

1707 W Charleston Blvd
Las Vegas, NV 89102-2352

850 Mill St
Suite 100
Reno, NV 89502-1463
Phone (775) 538-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL1746NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Aug 22, 2012 Accepting new patients
Unlv Medicine CurrentSince Jul 1, 2017 Accepting new patients
Medtrans Behavioral Nevada Casal, PLLC CurrentSince Nov 6, 2020 Accepting new patients
Alliance Mental Health Specialists Suba Park Cheng PLLC Psychiatry CurrentSince May 25, 2022 Accepting new patients
Homebase Care Casal PLLC CurrentSince Jun 1, 2021 Accepting new patients
Unlv Medicine CurrentSince Jul 1, 2017 Accepting new patients
Medtrans Medical Nevada Casal PLLC Current Accepting new patients
State of Nevada Current Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Aug 22, 2012 Accepting new patients
Homebase Care Casal PLLC CurrentSince Jun 1, 2021 Accepting new patients
Unsom Multispeciality Group Practice South, Inc Psychiatry Past Accepting new patients
K & B Health LLC Past Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

1701 W Charleston Blvd
Ste 250
Las Vegas, NV 89102
Phone (702) 671-2341

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

1707 W Charleston Blvd
Ste 220
Las Vegas, NV 89102
Phone (702) 671-5070

1707 W Charleston Blvd
Ste 230
Las Vegas, NV 89102
Phone (702) 671-5060

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

2040 W Charleston Blvd
Ste 202A
Las Vegas, NV 89102
Phone (702) 671-5127

3014 W Charleston Blvd
Ste 130
Las Vegas, NV 89102
Phone (702) 671-5127

3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

4270 S Decatur Blvd
Las Vegas, NV 89103
Phone (702) 485-2100

4270 S Decatur Blvd
Ste B6
Las Vegas, NV 89103
Phone (702) 485-2100

5380 S Rainbow Blvd
Ste 324
Las Vegas, NV 89118
Phone (702) 992-6828

5412 Boulder Hwy
Las Vegas, NV 89122
Phone (702) 383-2300

6880 S McCarran Blvd
Ste 14
Reno, NV 89509
Phone (702) 485-2100

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

890 Mill St
Fl 4
Reno, NV 89502

890 Mill St
Ste 100
Reno, NV 89502
Phone (702) 358-5300

890 Mill St
Ste 300
Reno, NV 89502
Phone (775) 323-5566

Interoperability endpoints

  • Direct secure messaging: fsuba@snvbc.adaptamed.direct-ci.com
  • Direct secure messaging: fsuba18745@direct.umcsn.com

Organizations & group practices 12

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 12

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1598965998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 W CHARLESTON BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020083",
            "telephone_number": "702-671-6475",
            "fax_number": "702-671-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 W Charleston Blvd Ste 202A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022206",
            "country_code": "US",
            "telephone_number": "702-671-6475",
            "fax_number": "702-947-5352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBA",
        "first_name": "FAISAL",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "LL1746",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "13792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.