Active NPI
Wade R Gaal, M.D.
- Sports Medicine (Family Medicine) Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 14059
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14095 | NV | MD | Psychiatric/Mental Health Registered Nurse |
| 14059 | NV | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlv Medicine | Current | Accepting new patients | |
| Unlv Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1407397235
-
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1184152274
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1538694575
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.