Individual provider Active NPI

Gurinderpal Singh Khaira, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1053547828
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17877 Issued in NV
Practice address
4490 N Rancho Dr
Las Vegas, NV 89130-3406
Phone
(702) 216-3346
Fax
(702) 671-6883
NPI assigned
Jun 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A118357 CA
Family Medicine Physician 207Q00000X 17877 NV Primary

Addresses

Primary practice location

4490 N Rancho Dr
Las Vegas, NV 89130-3406

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

2845 Siena Heights Dr
Henderson, NV 89052-4153
Phone (702) 877-5199

Other identifiers 1

IdentifierTypeStateIssuer
17877OtherNVSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130424000103 CA Practitioner - Family Practice 5698911469 Reassigns benefits to 1 organization
I20180913003185 NV Practitioner - Family Practice 5698911469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 N Green Valley Pkwy
Suite 240
Henderson, NV 89074-7704
Phone (702) 933-0088

1520 W Sunset Rd
Suite 100
Henderson, NV 89014-6849
Phone (702) 940-1555

2350 Corporate Cir
Henderson, NV 89074-7737

2891 N Green Valley Pkwy
Henderson, NV 89014-0403
Phone (702) 948-1140

4880 Wynn Rd
Las Vegas, NV 89103-5406
Phone (702) 871-5005

6380 N Decatur Blvd
Suite 215
Las Vegas, NV 89130-8004
Phone (702) 948-1145

771 E Horizon Dr
Suite 140
Henderson, NV 89015-8407
Phone (702) 948-1125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc CurrentSince Aug 3, 2018 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Jun 10, 2019 Accepting new patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine CurrentSince May 10, 2022 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 10, 2019 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Mar 16, 2013 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince May 10, 2022 Accepting new patients
Beaver Medical Group P C CurrentSince Mar 16, 2013 Accepting new patients

Locations

2 W Fern Ave
#1112
Redlands, CA 92373

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

1615 Orange Tree Ln
Redlands, CA 92374
Phone (909) 335-4102

33758 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 795-9747

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

2845 Siena Heights Dr
Henderson, NV 89052
Phone (702) 617-1227

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

4920 W Lone Mountain Rd
Las Vegas, NV 89130
Phone (702) 655-0550

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: gurinderpalkhaira@hcpnv.allscriptsdirect.net

Organizations & group practices 8

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": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1053547828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 N RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303406",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2845 Siena Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524153",
            "country_code": "US",
            "telephone_number": "702-877-5199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAIRA",
        "first_name": "GURINDERPAL",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-06",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A118357",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "17877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "17877",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.