Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Sofia M Fagan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912266222

Dr. Sofia M Fagan, DO is a Family Practice in Las Vegas, Nevada. Qualified in 2012, 14 years ago. Practices with Mass General Brigham Medical Group Northern Massachusetts Inc, a 819-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
14
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2410 Fire Mesa St Ste 180
Las Vegas, NV 89128-9017
Phone: (702) 992-6875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1912266222
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 7, 2012
Last updated in NPPESMay 7, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mass General Brigham Medical Group Northern Massachusetts Inc — 819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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