Organization Active NPI

Hayat Jawadi DO PLLC

Doing business as Premier GYN

  • Gynecology Physician
  • Henderson, NV
National Provider Identifier
1740632819
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
HAYAT JAWADI DO PLLC
Doing business as
Premier GYN
Practice address
3041 W Horizon Ridge Pkwy Ste 165
Henderson, NV 89052-5061
Phone
(702) 834-7300
Fax
(702) 902-2400
NPI assigned
Jul 12, 2016
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Hayat Jawadi, DONPI 1821300716
Title
MNG Member
Phone
(702) 834-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU Primary

Addresses

Primary practice location

3041 W Horizon Ridge Pkwy Ste 165
Henderson, NV 89052-5061

Mailing address

2880 Bicentennial Pkwy
Ste 100 # 200
Las Vegas, NV 89044-4483
Phone (702) 834-7300

Other names 1

  • PREMIER GYN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170228002029 NV Part B Supplier - Clinic/Group Practice 3173807641 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

3041 W Horizon Ridge Pkwy
Ste 165
Henderson, NV 89052
Phone (702) 260-1716

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1740632819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 BICENTENNIAL PKWY",
            "address_2": "STE 100 # 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "890444483",
            "telephone_number": "702-834-7300",
            "fax_number": "702-902-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 W HORIZON RIDGE PKWY STE 165",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525061",
            "telephone_number": "702-834-7300",
            "fax_number": "702-902-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYAT JAWADI DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "JAWADI",
        "authorized_official_first_name": "HAYAT",
        "authorized_official_title_or_position": "MNG MEMBER",
        "authorized_official_telephone_number": "702-834-7300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.