Individual provider Active NPI

Wade R Gaal, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1851553572
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
14059 Issued in NV
Practice address
5380 S Rainbow Blvd Ste 320
Las Vegas, NV 89118-1880
Phone
(702) 405-8150
Fax
(702) 405-8116
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 14059 NV Primary

Addresses

Primary practice location

5380 S Rainbow Blvd Ste 320
Las Vegas, NV 89118-1880

Mailing address

1701 W. Charleston Blvd.,Suite 670
Attn: Sandra Erosa, Credentialing Specialist
Las Vegas, NV 89102
Phone (702) 671-2355

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
I20111021000457 NV Practitioner - Family Practice 9133392939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlv MedicineGroup PAC ID 4183991458, 177 clinicians

Practice addresses (Care Compare)

1707 W Charleston Blvd
Las Vegas, NV 89102-2352

5320 S Rainbow Blvd
Suite 260
Las Vegas, NV 89118-1896
Phone (702) 405-8150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14095NVMDPsychiatric/Mental Health Registered Nurse
14059NVMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine CurrentSince Jul 1, 2017 Accepting new patients
Unlv Medicine CurrentSince Jul 1, 2017 Accepting new patients
Unlv Medicine Current Accepting new patients

Locations

3196 S Maryland Pkwy
Ste 303
Las Vegas, NV 89109
Phone (702) 383-2919

1524 Pinto Ln
Fl 2
Las Vegas, NV 89106
Phone (702) 671-2236

5320 S Rainbow Blvd
Ste 260
Las Vegas, NV 89118
Phone (702) 405-8150

5380 S Rainbow Blvd
Ste 324
Las Vegas, NV 89118
Phone (702) 992-6828

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

2724 N Tenaya Way
Fl 2
Las Vegas, NV 89128
Phone (702) 939-8557

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

5380 S Rainbow Blvd
Ste 320
Las Vegas, NV 89118
Phone (702) 784-0070

1701 W Charleston Blvd
Ste 670
Las Vegas, NV 89102
Phone (702) 701-3839

1707 W Charleston Blvd
Ste 220
Las Vegas, NV 89102
Phone (702) 671-5070

Interoperability endpoints

  • Direct secure messaging: wgaal18611@direct.umcsn.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1851553572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W. CHARLESTON BLVD.,SUITE 670",
            "address_2": "ATTN: SANDRA EROSA, CREDENTIALING SPECIALIST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-671-2355",
            "fax_number": "702-382-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 320",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181880",
            "telephone_number": "702-405-8150",
            "fax_number": "702-405-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAAL",
        "first_name": "WADE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NV",
            "license": "14059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.