Active NPI
Jamiel Wattoo
- Specialist
- Las Vegas, NV
National Provider Identifier
1881988293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- SL0825
- Practice address
- 620 Shadow Lane
Las Vegas, NV 89106-4194 - Phone
- (702) 388-8436
- Fax
- (702) 388-8431
- NPI assigned
- Jun 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | SL0825 | NV | Primary |
Addresses
Primary practice location
620 Shadow Lane
Las Vegas, NV 89106-4194
Mailing address
620 Shadow Lane
Las Vegas, NV 89106-4194
Phone (702) 388-8436
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
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000
Hospital & facility affiliations
- Valley Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL0825 | NV | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Wattoo DO PLLC | Current | Accepting new patients | |
| Valley Hospital Medical Center | Past | Accepting new patients | |
| Tufail & Associates | Past | Accepting new patients |
Locations
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
3022 S Durango Dr
Ste 100
Las Vegas, NV 89117
Phone (702) 210-9423
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 1760862536
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1639289598
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1417947490
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1417947490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1881988293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 SHADOW LANE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064194",
"telephone_number": "702-388-8436",
"fax_number": "702-388-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SHADOW LANE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064194",
"telephone_number": "702-388-8436",
"fax_number": "702-388-8431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTOO",
"first_name": "JAMIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-02",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "SL0825",
"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 Aug 7, 2015; 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.