Individual provider Active NPI

Berge Jack Dadourian, M.D.

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1003819749
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5819 Issued in NV
Practice address
400 S Rampart Blvd
Suite 240
Las Vegas, NV 89145-5721
Phone
(702) 906-1100
Fax
(702) 906-1110
NPI assigned
May 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5819 NV Primary

Addresses

Primary practice location

400 S Rampart Blvd
Suite 240
Las Vegas, NV 89145-5721

Mailing address

400 S Rampart Blvd
Suite 240
Las Vegas, NV 89145-5721
Phone (702) 906-1100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101118000500 NV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183706906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of California, Geffen School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ameli Cardiology LTDGroup PAC ID 2668609355, 4 clinicians

Practice addresses (Care Compare)

400 S Rampart Blvd
240 Ameli Dadourian Heart Center
Las Vegas, NV 89145-5742
Phone (702) 906-1100

Hospital & facility affiliations

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

Merit-based Incentive Payment System (MIPS)

Final score
90.57 of 100Reported as individual
Quality
93.1
Improvement activities
40
Cost
77.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edelstein Medical Group, PLLC Cardiovascular Disease Past Accepting new patients
Nevada Cardiology Professional Assn Cardiovascular Disease PastSince Jan 1, 1989 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EICDCA/Endpoint/EICDCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJCBA

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1003819749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S RAMPART BLVD",
            "address_2": "SUITE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455721",
            "telephone_number": "702-906-1100",
            "fax_number": "702-906-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S RAMPART BLVD",
            "address_2": "SUITE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455721",
            "telephone_number": "702-906-1100",
            "fax_number": "702-906-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADOURIAN",
        "first_name": "BERGE",
        "middle_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-26",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "5819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.