MUSSIE MAHDEREKAL DO
NPI 1992239164
Internal Medicine in Las Vegas, NV

Q: What is Mussie Mahderekal's NPI number?

The NPI number for Mussie Mahderekal is 1992239164. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Q: What is Mussie Mahderekal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mussie Mahderekal was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment

6070 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148(702) 803-5534 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2020, Aug 19, 2020, Jul 13, 2020 and 2 more (5 updates tracked since 2017).

On this page

About Mussie Mahderekal Do NPPES

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

MUSSIE MAHDEREKAL DO (NPI 1992239164) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (DO2728) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Siena Campus, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1992239164

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMUSSIE MAHDEREKALCredential: DO

Location Address6070 S FORT APACHE RD STE 100Las Vegas, NV 89148-5615

Mailing Address6070 S Fort Apache Rd Ste 100Las Vegas, NV 89148-5615 · (702) 803-5534 · Fax (702) 616-9681

Phone(702) 803-5534

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2017

Enumeration DateApril 14, 2017

Last NPPES UpdateNovember 28, 20235 updates tracked since enumeration

NPPES CertifiedNovember 28, 2023

✔ NPI 1992239164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NV · DO2728

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

6070 S FORT APACHE RD STE 100, Las Vegas, NV 89148

Open in Google Maps ↗

Secondary Practice Locations 3

Location 18425 S Eastern Ave Ste ALas Vegas, NV 89123-2891 · Phone (702) 803-5534

Location 22851 N Tenaya Way Ste 101Las Vegas, NV 89128-0453 · Phone (702) 803-5534

Location 35110 W Sahara AveLas Vegas, NV 89146-3406 · Phone (702) 803-5534

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

Mussie Mahderekal 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 ID4880965326

PECOS Enrollment IDI20200721004333

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

1,515 services356 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

353 services288 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290045

Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County

Emergency services Birthing friendly

Saint Rose Dominican Hospitals - San Martin Campus

Acute Care Hospitals · Las Vegas, NV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290053

Location8280 W Warm Springs RoadLas Vegas, NV 89113 · Clark County

Emergency services Birthing friendly

Boulder City Hospital

Critical Access Hospitals · Boulder City, NV

OwnershipVoluntary non-profit - Private

CMS Certification Number291309

Location901 Adams BlvdBoulder City, NV 89005 · Clark County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ALICIA LEANN RIPPERE PA-C

Physician Assistant (Medical)