NPIMap

Organization Active NPI

Southern Nevada Bariatrics Mustafa Ahmed MD Facs PLLC

Doing business as Southern Nevada Bariatrics

  • Surgery Physician
  • Henderson, NV
National Provider Identifier
1821450545
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
15815 Issued in NV
Legal business name
SOUTHERN NEVADA BARIATRICS MUSTAFA AHMED MD FACS PLLC
Doing business as
Southern Nevada Bariatrics
Practice address
2990 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4663
Phone
(702) 626-0499
Fax
(702) 629-5038
NPI assigned
Mar 22, 2016
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Mustafa I Ahmed, MDNPI 1841239118
Title
President
Phone
(702) 626-0499

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 15815 NV Primary
Surgical Critical Care Physician 2086S0102X 15815 NV

Addresses

Primary practice location

2990 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4663

Mailing address

2990 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4663
Phone (702) 626-0499

Other identifiers 1

IdentifierTypeStateIssuer
15815OtherNVNV MEDICAL LICENSE

Other names 1

  • Southern Nevada Bariatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT, CA, OH5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20160623000789 NV Part B Supplier - Clinic/Group Practice 0244521193 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV
O20241124000046 UT Part B Supplier - Clinic/Group Practice 0244521193 Receives reassigned benefits from 1 practitioner
Practice locations: St George, UT
O20241201000021 CA Part B Supplier - Clinic/Group Practice 0244521193 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA
O20250103001677 OH Part B Supplier - Clinic/Group Practice 0244521193 Receives reassigned benefits from 2 practitioners
Practice locations: Westerville, OH
O20250226001693 NV DME Supplier - Physician - General Surgery 0244521193 Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16797/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

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": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1821450545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524663",
            "telephone_number": "702-626-0499",
            "fax_number": "702-629-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524663",
            "telephone_number": "702-626-0499",
            "fax_number": "702-629-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA BARIATRICS MUSTAFA AHMED MD FACS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-626-0499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "15815",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NV",
            "license": "15815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MEDICAL LICENSE",
            "identifier": "15815",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Nevada Bariatrics",
            "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 Mar 19, 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.