DR. SOFIA M FAGAN DO
NPI 1912266222
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since May 07, 2012PECOS EnrolledAccepts Medicare Assignment
2410 FIRE MESA ST STE 180, LAS VEGAS, NV 89128(702) 992-6875 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sofia M Fagan Do NPPES

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

DR. SOFIA M FAGAN DO (NPI 1912266222) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1912266222
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SOFIA M FAGANCredential: DO
Location Address2410 FIRE MESA ST STE 180Las Vegas, NV 89128-9017
Mailing Address2410 Fire Mesa St Ste 180Las Vegas, NV 89128-9017 · (702) 992-6875
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 7, 2012
NPI 1912266222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2410 FIRE MESA ST STE 180, Las Vegas, NV 89128

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sofia M Fagan Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012149362
PECOS Enrollment IDI20150630001137
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
433 services212 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
119 services119 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services65 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
66 services62 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
61 services60 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
57 services56 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2410 FIRE MESA ST STE 180
LAS VEGAS, NV 89128
Family Medicine
2410 FIRE MESA ST STE 180
LAS VEGAS, NV 89128
Family Medicine (Sports Medicine)
2410 FIRE MESA ST STE 180
LAS VEGAS, NV 89128

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 Sofia Fagan's NPI number?

The NPI number for Sofia Fagan is 1912266222. It was assigned to this individual provider in the NPPES registry on May 7, 2012.

Where is Sofia Fagan located?

Sofia Fagan practices at 2410 Fire Mesa St Ste 180, Las Vegas, NV 89128. The listed phone number is (702) 992-6875.

What is Sofia Fagan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sofia Fagan enrolled in Medicare?

Yes. Sofia Fagan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sofia Fagan accept?

Health plans from Anthem Blue Cross and Blue Shield list Sofia Fagan 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.

Is Sofia Fagan affiliated with any hospitals?

According to CMS data, Sofia Fagan is affiliated with Northeast Hospital Corporation, North Shore Medical Center - and Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Sofia Fagan was last updated on May 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.