Mussie Mahderekal, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO2728 Issued in NV

Practice address

6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615

Phone

(702) 803-5534

NPI assigned

Apr 14, 2017

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

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

Internal MedicineAlso: Family Practice

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Naz Wahab MD PCGroup PAC ID 4082630512, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Rose Dominican Hospitals - San Martin Campus Hospital, Las Vegas, NV, CCN 290053
• Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045

Merit-based Incentive Payment System (MIPS)

Final score

68.18 of 100Reported as group

Quality

57.84

Improvement activities

40

Cost

43.06

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Naz Wahab MD PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1568514198
  Medicare reassignment Care Compare group NPD
• Family Doctors Ramanathan, PLLC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1437258274
  Medicare reassignment NPD
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• Desert Springs Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  NPD (past)
• Reliant Physicians (Kumar) PLLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1093285462

  Internal Medicine

  NPD (past)
• Sunrise Mountainview Hospital, Inc.

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831143817
  NPD (past)
• University Medical Center of Southern Nevada

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127
  NPD (past)

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

• Dignity Health

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1528101284
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  Care Compare affiliation

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1992239164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485615",
            "telephone_number": "702-803-5534",
            "fax_number": "702-616-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485615",
            "telephone_number": "702-803-5534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8425 S Eastern Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232891",
            "country_code": "US",
            "telephone_number": "702-803-5534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2851 N Tenaya Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280453",
            "country_code": "US",
            "telephone_number": "702-803-5534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5110 W Sahara Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463406",
            "country_code": "US",
            "telephone_number": "702-803-5534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHDEREKAL",
        "first_name": "MUSSIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO2728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roya Laura Mahana, D.O.
• Sahar Mahani, MD
• Mahvash Mahban Jahangiri
• Ariana Ashley Mahban
• Sayed Mahboob
• Amina Mahdi
• Tuqa Mahdy
• Meera Srirangapatna Maheedhariah
• Arianna Maher
• Mary Anne Maher, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.