MOHAVE DERMATOLOGY
NPI 1194268987
Dermatology in Las Vegas, NV

Active since November 28, 2016CLIA 29D2271051 · Certificate of Compliance
3975 S DURANGO DR STE 107, LAS VEGAS, NV 89147(702) 628-5333(702) 487-3599 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2023, Dec 28, 2022, Aug 17, 2021 (3 updates tracked since 2021).

About Mohave Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAVE DERMATOLOGY (NPI 1194268987) is a healthcare organization registered as a dermatology in Las Vegas, Nevada and active in the NPI registry since November 2016. The organization holds a CLIA Certificate of Compliance certificate valid through April 23, 2027, maintains a secondary practice location in Las Vegas, and lists Jaldeep H Daulat, Owner, as its authorized official.

NPPES Registry Identity

NPI1194268987
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJ H DAULAT DO PC
Location Address3975 S DURANGO DR STE 107Las Vegas, NV 89147-4156
Mailing Address9750 W Skye Canyon Park Dr, Suite 160 Box103Las Vegas, NV 89166 · (702) 683-1727 · Fax (702) 974-0440
Fax(702) 487-3599
Organization SubpartNo
Authorized OfficialJaldeep H DaulatOwner · (702) 654-3187
Enumeration DateNovember 28, 2016
Last NPPES UpdateMarch 3, 20233 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
✔ NPI 1194268987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NV · 363
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3975 S DURANGO DR STE 107, Las Vegas, NV 89147

Other Names 1

Doing Business AsMohave Dermatology

Secondary Practice Location 1

Location 13975 S Durango Dr Ste 107Las Vegas, NV 89147-4156 · Phone (702) 628-5333 · Fax (702) 487-3599

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohave Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mohave Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Dermatology
NPI 1114949492
3975 S DURANGO DR STE 107
Las Vegas, NV 89147
(702) 628-5333
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1093849820
3186 S MARYLAND PKWY
Las Vegas, NV 89109
(706) 863-9595
✔ PECOS8.1 mi
Dermatology
NPI 1417103094
2860 E DESERT INN RD
Las Vegas, NV 89121
(702) 551-9487
✔ PECOS✔ Accepts Medicare9.5 mi
Dermatology
NPI 1043875461
147 N BRENT ST
Ventura, CA 93003
(805) 948-5672
✔ PECOS✔ Accepts Medicare258 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 29D2271051

Mohave Dermatology - Vegas · Las Vegas, NV
Active · expires Apr 23, 2027
CLIA Number29D2271051
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorJaldeep H. Daulat
Laboratory Phone(702) 628-5333
Laboratory LocationMohave Dermatology - Vegas3975 S Durango Dr, Ste 107, Las Vegas, NV 89147
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is J H Daulat Do PC's NPI number?

The NPI number for J H Daulat Do PC is 1194268987. It was assigned to this organization in the NPPES registry on November 28, 2016. The provider is doing business as Mohave Dermatology.

Where is J H Daulat Do PC located?

J H Daulat Do PC is located at 3975 S Durango Dr Ste 107, Las Vegas, NV 89147. The listed phone number is (702) 628-5333.

What is J H Daulat Do PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is J H Daulat Do PC enrolled in Medicare?

Yes. J H Daulat Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through J H Daulat Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to J H Daulat Do PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (3) and Plastic and Reconstructive Surgery (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does J H Daulat Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 29D2271051) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does J H Daulat Do PC accept?

Health plans from Ambetter from Arizona Complete Health list J H Daulat Do PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for J H Daulat Do PC was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.