Organization Active NPI

Osama Haikal MD LTD

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1609069038
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OSAMA HAIKAL MD LTD
Practice address
2136 E Desert Inn Rd Ste a
Las Vegas, NV 89169-3247
Phone
(702) 734-0505
Fax
(702) 734-3912
NPI assigned
Aug 20, 2007
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Cynthia Reyes
Title
Practice Manager
Phone
(702) 734-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NV Primary

Addresses

Primary practice location

2136 E Desert Inn Rd Ste a
Las Vegas, NV 89169-3247

Mailing address

2657 Windmill Pkwy
Henderson, NV 89074-3384
Phone (702) 735-0505

Other practice location 1

1647 E Windmill Ln Ste 100
Las Vegas, NV 89123-1908
Phone (702) 914-6555

Other practice location 2

2700 Crimson Canyon Dr Ste 180
Las Vegas, NV 89128-0802
Phone (702) 562-2420

Other identifiers 1

IdentifierTypeStateIssuer
CH1004OtherNVRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714000681 NV Part B Supplier - Clinic/Group Practice 0840279915 Receives reassigned benefits from 18 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2657 Windmill Pkwy
Henderson, NV 89074
Phone (702) 300-2486

1627 E Windmill Ln
Ste 300
Las Vegas, NV 89123

2136 E Desert Inn Rd
#B
Las Vegas, NV 89169

2136 E Desert Inn Rd
Ste A
Las Vegas, NV 89169
Phone (702) 734-0505

2700 Crimson Canyon Dr
Las Vegas, NV 89128

2700 Crimson Canyon Dr
#180
Las Vegas, NV 89128
Phone (702) 562-2420

2700 Crimson Canyon Dr
Ste 180
Las Vegas, NV 89128
Phone (702) 562-2420

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1609069038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 WINDMILL PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743384",
            "telephone_number": "702-735-0505",
            "fax_number": "702-734-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 E DESERT INN RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693247",
            "telephone_number": "702-734-0505",
            "fax_number": "702-734-3912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1647 E Windmill Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891231908",
            "country_code": "US",
            "telephone_number": "702-914-6555",
            "fax_number": "702-914-6556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Crimson Canyon Dr Ste 180",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280802",
            "country_code": "US",
            "telephone_number": "702-562-2420",
            "fax_number": "702-562-3202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OSAMA HAIKAL MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "702-734-0505"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH1004",
            "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 Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.