Individual provider Active NPI

Mandeep Gill, DO

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1992232334
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2706 Issued in NV
Practice address
8300 W Cheyenne Ave Ste 105
Las Vegas, NV 89129-2177
Phone
(702) 656-0911
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SL1201 NV
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DO2706 NV Primary

Addresses

Primary practice location

8300 W Cheyenne Ave Ste 105
Las Vegas, NV 89129-2177

Mailing address

8300 W Cheyenne Ave Ste 105
Las Vegas, NV 89129-2177
Phone (702) 656-0911

Other practice location 1

620 Shadow Ln
Las Vegas, NV 89106-4119
Phone (702) 388-8346

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200622000441 NV Practitioner - Family Practice 7810267887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quang Nguyen DO PLLCGroup PAC ID 5698915247, 4 clinicians

Practice addresses (Care Compare)

229 N Pecos Rd
Suite 100
Henderson, NV 89074-7364
Phone (702) 605-5750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quang Nguyen DO PLLC Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients

Locations

229 N Pecos Rd
Ste 110
Henderson, NV 89074

229 N Pecos Rd
Ste 100
Henderson, NV 89074
Phone (702) 367-6370

700 Shadow Ln
Ste 400
Las Vegas, NV 89106
Phone (702) 431-7008

Interoperability endpoints

  • Direct secure messaging: mandeep.gill@lve.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594425600000",
    "number": "1992232334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W CHEYENNE AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292177",
            "telephone_number": "702-656-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W CHEYENNE AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292177",
            "telephone_number": "702-656-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Shadow Ln",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064119",
            "country_code": "US",
            "telephone_number": "702-388-8346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "MANDEEP",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "SL1201",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.