Individual provider Active NPI

Muthena Maklad, MD

  • Gastroenterology Physician
  • Henderson, NV
National Provider Identifier
1609118959
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
16563 Issued in NV
Practice address
825 N Gibson Rd Ste 201
Henderson, NV 89011-1708
Phone
(702) 492-1162
Fax
(702) 563-3380
NPI assigned
Mar 25, 2013
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 16563 NV Primary

Addresses

Primary practice location

825 N Gibson Rd Ste 201
Henderson, NV 89011-1708

Mailing address

2345 E Prater Way Ste 207
Sparks, NV 89434-9634
Phone (702) 492-1162

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
I20160902001786 NV Practitioner - GastroenterologyPractitioner - Internal Medicine 6901028323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kim Chen PLLCGroup PAC ID 3971813379, 18 clinicians

Practice addresses (Care Compare)

9260 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4903
Phone (702) 483-4483

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy213
Upper gastrointestinal (GI) endoscopy for acid reflux179

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Medical Group LLC Internal Medicine CurrentSince Nov 16, 2020 Accepting new patients
Kim Chen PLLC Gastroenterology CurrentSince Nov 15, 2023 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Mountain View Hospital LLC Past Accepting new patients

Locations

1389 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (725) 333-8400

2863 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 483-4483

825 N Gibson Rd
Ste 201
Henderson, NV 89011
Phone (702) 492-1162

2410 Fire Mesa St
Ste 170
Las Vegas, NV 89128
Phone (702) 483-4483

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

6850 N Durango Dr
Ste 216
Las Vegas, NV 89149
Phone (702) 407-7700

9260 W Sunset Rd
Ste 306
Las Vegas, NV 89148
Phone (702) 483-4483

2345 E Prater Way
Ste 207
Sparks, NV 89434
Phone (775) 352-5301

Interoperability endpoints

  • Direct secure messaging: mmaklad18667@direct.umcsn.com
  • Direct secure messaging: muthena.m@cdin.curemd.direct-ci.com

Organizations & group practices 4

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1609118959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 207",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349634",
            "telephone_number": "702-492-1162",
            "fax_number": "702-563-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N GIBSON RD STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111708",
            "telephone_number": "702-492-1162",
            "fax_number": "702-563-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKLAD",
        "first_name": "MUTHENA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "16563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.