Individual provider Active NPI

Fauzia Carullo, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1790818433
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13682 Issued in NV
Practice address
7580 W Sahara Ave
Las Vegas, NV 89117-2742
Phone
(702) 852-2000
Fax
(702) 821-1704
NPI assigned
Mar 13, 2007
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13682 NV Primary

Addresses

Primary practice location

7580 W Sahara Ave
Las Vegas, NV 89117-2742

Mailing address

7580 W Sahara Ave FL 2
Las Vegas, NV 89117-2742
Phone (702) 852-2000

Other names 1

  • Dr. Fauzia Chaudhery Former name

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
I20110413000625 NV Practitioner - Internal Medicine 5395827026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fauzia Carullo MD Prof CorpGroup PAC ID 6204010424, 2 clinicians

Practice addresses (Care Compare)

7580 W Sahara Ave
Las Vegas, NV 89117-2742
Phone (702) 852-2010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fauzia Carullo MD Prof Corp CurrentSince Dec 18, 2011 Accepting new patients
Las Vegas Immediate Care CurrentSince Dec 18, 2011 Accepting new patients
Fauzia Carullo MD Prof Corp Internal Medicine CurrentSince Feb 11, 2011 Accepting new patients
Macneal Physicians Group LLC Internal Medicine Past Accepting new patients

Locations

2901 N Tenaya Way
Ste 200
Las Vegas, NV 89128
Phone (702) 362-2622

2901 N Tenaya Way
Ste 210
Las Vegas, NV 89128
Phone (702) 255-0500

7580 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 852-2000

7580 W Sahara Ave
Fl 2
Las Vegas, NV 89117
Phone (702) 255-0500

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1790818433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 W SAHARA AVE FL 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172742",
            "telephone_number": "702-852-2000",
            "fax_number": "702-821-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172742",
            "telephone_number": "702-852-2000",
            "fax_number": "702-821-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARULLO",
        "first_name": "FAUZIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAUZIA",
            "last_name": "CHAUDHERY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.