NPIMap

Individual provider Active NPI

Naya McKinnon, M.D.

  • Rheumatology Physician
  • Las Vegas, NV
National Provider Identifier
1841229929
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
14081 Issued in NV
Practice address
351 N Buffalo Dr
Suite B
Las Vegas, NV 89145-0301
Phone
(702) 505-4230
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37710 AZ
Rheumatology Physician 207RR0500X 14081 NV Primary

Addresses

Primary practice location

351 N Buffalo Dr
Suite B
Las Vegas, NV 89145-0301

Mailing address

7575 W Washington Ave
Suite 127-160
Las Vegas, NV 89128-4333
Phone (702) 505-4230

Other names 1

  • Dr. Nayab Mahaum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121002801 MT Practitioner - Rheumatology 3476724519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Nevada School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Big Sky Medical Associates PLLCGroup PAC ID 5193267045, 2 clinicians

Practice addresses (Care Compare)

155 Mill Town Loop
Suite a
Bozeman, MT 59718-5146
Phone (406) 551-2180

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37710AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McKinnon Rheumatology Associates PLLC Rheumatology CurrentSince Feb 28, 2024 Accepting new patients
Big Sky Medical Associates, PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

155 Mill Town Loop
Ste A
Bozeman, MT 59718
Phone (406) 551-2180

7575 W Washington Ave
#127160
Las Vegas, NV 89128

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1841229929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 W WASHINGTON AVE",
            "address_2": "SUITE 127-160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284333",
            "telephone_number": "702-505-4230",
            "fax_number": "702-505-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N BUFFALO DR",
            "address_2": "SUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450301",
            "telephone_number": "702-505-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "NAYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "37710",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NV",
            "license": "14081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAYAB",
            "last_name": "MAHAUM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.