Active NPI
Muhammad Khalid Gondal, M.D.
- Pulmonary Disease Physician
- Henderson, NV
National Provider Identifier
1902082795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 16756
- Practice address
- 715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667 - Phone
- (702) 483-5092
- NPI assigned
- Jan 11, 2008
- Last updated
- Jun 23, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 16756 | NV | |
| Pulmonary Disease Physician | 207RP1001X | 16756 | NV | Primary |
Addresses
Primary practice location
715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667
Mailing address
715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667
Phone (702) 483-5092
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100097570 | Medicaid | KY | |
| P01344567 | Other | KY | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinch Professional Physician Services LLC | Family Medicine | Past | Accepting new patients |
| Clinch Professional Physician Services LLC | Past | Accepting new patients |
Interoperability endpoints
- mgondal125139@direct.renown.org
- muhammadgondal@arh.medalliesdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Richlands, VA
- NPI 1609994284
Family Medicine
-
dba Clinch Valley Family Care
- Rural Health Clinic/Center
- Cedar Bluff, VA
- NPI 1669157285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1902082795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 MALL RING CIR STE 202",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890146667",
"telephone_number": "702-483-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 MALL RING CIR STE 202",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890146667",
"telephone_number": "702-483-5092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONDAL",
"first_name": "MUHAMMAD",
"middle_name": "KHALID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-11",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NV",
"license": "16756",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NV",
"license": "16756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100097570",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01344567",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.