Individual provider Active NPI

Mary Hao Hao, DO

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1760005177
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO3671 Issued in NV
Practice address
3830 E Flamingo Rd Ste 100
Las Vegas, NV 89121-6234
Phone
(725) 269-1044
Fax
(725) 269-1046
NPI assigned
May 20, 2020
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X DO3671 NV Primary

Addresses

Primary practice location

3830 E Flamingo Rd Ste 100
Las Vegas, NV 89121-6234

Mailing address

1207 Old Country Rd
Elmsford, NY 10523-2038
Phone (917) 254-9780

Other practice location 1

3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014
Phone (917) 254-9780

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
I20240813000749 NV Practitioner - Family Practice 6305384074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archwell Health Professional Services of Nevada PCGroup PAC ID 3779966999, 14 clinicians

Practice addresses (Care Compare)

3830 E Flamingo Rd
Suite 100
Las Vegas, NV 89121-6234
Phone (725) 269-1044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Nevada, P.C. CurrentSince Jun 30, 2024 Accepting new patients

Locations

1501 W Sunset Rd
Henderson, NV 89014
Phone (725) 269-7001

3830 E Flamingo Rd
#100
Las Vegas, NV 89121
Phone (725) 269-1044

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: mhao1882250@direct.trinity-health.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1760005177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 OLD COUNTRY RD",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232038",
            "telephone_number": "917-254-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 E FLAMINGO RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216234",
            "telephone_number": "725-269-1044",
            "fax_number": "725-269-1046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 W Grand Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023014",
            "country_code": "US",
            "telephone_number": "917-254-9780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAO",
        "first_name": "MARY",
        "middle_name": "HAO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO3671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.