Michael Scott Mall, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

NV6074 Issued in NV

Practice address

7455 W Washington Ave
#400
Las Vegas, NV 89128-4337

Phone

(702) 733-7966

Fax

(702) 341-0504

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Arizona College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serenity Mental HealthGroup PAC ID 3072813245, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Serenity Mental Health

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1497047203
  Medicare reassignment Care Compare group NPD
• Fox & Mall, LTD

  dba Comprehensive Primary Care

  • Ph.D. Medical Genetics
  • Las Vegas, NV
  • NPI 1528141447
  Medicare reassignment NPD
• Serenity Counseling LLC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1366961922
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1972513091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE",
            "address_2": "#400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284337",
            "telephone_number": "702-733-7966",
            "fax_number": "702-341-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE",
            "address_2": "#400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284337",
            "telephone_number": "702-733-7966",
            "fax_number": "702-341-0504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6048 S Durango Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891131781",
            "country_code": "US",
            "telephone_number": "702-815-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALL",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "NV6074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019017",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003102017",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asriana Maliwat, CASE MANAGER
• Gideon Malka
• Artur Malkhasyan
• Hasmik Malkhasyan, MEDICAL ASSISTANT
• Johncarlo Malkusz
• Krizelle Quiambao Mallanta
• Maria Cristina Mallari
• Noelle D Mallari, RPH
• Lakshmi Harini Mallavarapu, DDS
• Marjorie Ann Malleck, M.D.

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.