Individual provider Active NPI

Zvi Sela, MD

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1043200066
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
6490 Issued in NV
Practice address
1294 S Jones Blvd
Las Vegas, NV 89146
Phone
(702) 877-1887
Fax
(702) 877-4536
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 6490 NV Primary

Addresses

Primary practice location

1294 S Jones Blvd
Las Vegas, NV 89146

Mailing address

1294 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 877-1887

Other identifiers 1

IdentifierTypeStateIssuer
002019213MedicaidNV

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
I20100428000353 NV Practitioner - NephrologyPractitioner - Internal Medicine 4880698539 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Endocrine Associates Inc Nephrology CurrentSince Jun 1, 2003 Accepting new patients
Nephrology & Endocrine Associates Inc CurrentSince Jun 1, 2003 Accepting new patients

Locations

1641 E Flamingo Rd
Ste 10
Las Vegas, NV 89119
Phone (702) 732-3541

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

1294 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 877-1877

8775 Deer Springs Way
Las Vegas, NV 89149
Phone (702) 395-2488

500 S Rancho Dr
Ste 12
Las Vegas, NV 89106
Phone (702) 877-1877

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1043200066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELA",
        "first_name": "ZVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "6490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019213",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.