Individual provider Active NPI

Rofaida El Haj Mousa, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1871954792
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19014 Issued in NV
Practice address
2880 N Tenaya Way Ste 400
Las Vegas, NV 89128-0642
Phone
(702) 962-9550
NPI assigned
Mar 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19014 NV Primary

Addresses

Primary practice location

2880 N Tenaya Way Ste 400
Las Vegas, NV 89128-0642

Mailing address

PO Box 100744
Atlanta, GA 30384-0494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241001001946 TX Practitioner - Internal Medicine 5698061554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3417 Spectrum Blvd
Suite 200
Richardson, TX 75082-9729
Phone (214) 831-2521

6705 Barolo Dr
Rowlett, TX 75088-6716
Phone (214) 831-2521

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rofaida El Haj Mousa MD PLLC Internal Medicine CurrentSince Oct 14, 2024 Accepting new patients

Locations

3417 Spectrum Blvd
Ste 200
Richardson, TX 75082
Phone (972) 478-0322

Interoperability endpoints

  • Direct secure messaging: rofaida.mousa.1@18822.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFABED/Endpoint/AFABED

Organizations & group practices 1

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": "1458432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1871954792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100744",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 N TENAYA WAY STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280642",
            "telephone_number": "702-962-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL HAJ MOUSA",
        "first_name": "ROFAIDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-20",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "19014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.