NPIMap

Organization Active NPI

McKinnon Rheumatology Associates PLLC

Doing business as Direct Access Rheumatology

  • Rheumatology Physician
  • Las Vegas, NV
National Provider Identifier
1821854340
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
MCKINNON RHEUMATOLOGY ASSOCIATES PLLC
Doing business as
Direct Access Rheumatology
Practice address
2400 S Cimarron Rd Ste 120
Las Vegas, NV 89117-7902
Phone
(725) 293-5101
NPI assigned
Feb 22, 2024
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Naya McKinnon, MDNPI 1841229929
Title
Owner
Phone
(725) 293-5101

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

2400 S Cimarron Rd Ste 120
Las Vegas, NV 89117-7902

Mailing address

7575 W Washington Ave # 127-160
Las Vegas, NV 89128-4333

Other names 1

  • Direct Access Rheumatology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240419002429 NV Part B Supplier - Clinic/Group Practice 4981043122 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2400 S Cimarron Rd
Ste 120
Las Vegas, NV 89117
Phone (702) 505-4230

Practitioners & affiliated clinicians

Practitioners 6

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": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1821854340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 W WASHINGTON AVE # 127-160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S CIMARRON RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177902",
            "telephone_number": "725-293-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNON RHEUMATOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "NAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-293-5101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Access Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Direct Access Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.