NPIMap

Individual provider Active NPI

Mulugeta D Kassahun, M.D.

  • Urology Physician
  • Las Vegas, NV
National Provider Identifier
1922044395
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10930 Issued in NV
Practice address
1655 E Cactus Ave Ste 200
Las Vegas, NV 89183-7723
Phone
(702) 877-0814
Fax
(702) 877-3238
NPI assigned
Jun 22, 2006
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10930 NV
Urology Physician 208800000X 10930 NV Primary

Addresses

Primary practice location

1655 E Cactus Ave Ste 200
Las Vegas, NV 89183-7723

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 877-0814

Other identifiers 2

IdentifierTypeStateIssuer
P00367483OtherRAILROAD MEDICARE PIN
100504813MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040823001020 NV Practitioner - Urology 3678547965 Reassigns benefits to 1 organization
I20260623003334 DC Practitioner - Urology 3678547965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Wisconsin School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Group Rhodes P CGroup PAC ID 1052390036, 53 clinicians

Practice addresses (Care Compare)

58 N Pecos Rd
Henderson, NV 89074-7319
Phone (702) 877-0814

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.7 of 100Reported as group
Quality
82.63
Promoting interoperability
100
Improvement activities
40
Cost
83.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection14
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10930NVMDUrology Physician

Interoperability endpoints

  • Direct secure messaging: mkassahun119401@westdirect.optum.com
  • Direct secure messaging: mkassahun13023@direct.umcsn.com
  • Direct secure messaging: mulugeta.kassahun.p1@direct.usonv.nextgenshare.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1922044395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-877-0814",
            "fax_number": "702-877-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E CACTUS AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837723",
            "telephone_number": "702-877-0814",
            "fax_number": "702-877-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAHUN",
        "first_name": "MULUGETA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "10930",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "10930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00367483",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504813",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.