Amin Hedayat, M.D., FASCP, FCAP

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

19023 Issued in NV

Practice address

4230 Burnham Ave
Las Vegas, NV 89119-5408

Phone

(949) 466-6096

NPI assigned

Apr 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Pathology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ocean Skin and Vein InstituteGroup PAC ID 9335482835, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ocean Skin and Vein Institute

  • Dermatology Physician
  • Tustin, CA
  • NPI 1790246841
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1922427509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S COLLEGEVILLE RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262998",
            "telephone_number": "610-454-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 BURNHAM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195408",
            "telephone_number": "949-466-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDAYAT",
        "first_name": "AMIN",
        "name_prefix": "Dr.",
        "credential": "M.D., FASCP, FCAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NV",
            "license": "19023",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NV",
            "license": "19023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Alexis Hecker, RBT
• Tamie Heckethorn
• Matthew Heckman, PHD
• Donald Hect
• Michael Hector
• Michelle Hedden
• Michael James Hedderman, CRNA
• Amanda Hedges
• Amanda Michele Hedges
• James Kenneth Hedges, M.D.

• Dermatopathology (Pathology) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dermatopathology (Pathology) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.

Verify at the official NPI Registry.