Individual provider Active NPI

Leila Khalili, M.D

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1053774646
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18731 Issued in NV
Practice address
10624 S Eastern Ave # a-955
Henderson, NV 89052-2982
Phone
(702) 800-5393
Fax
(702) 407-7016
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18731 NV Primary

Addresses

Primary practice location

10624 S Eastern Ave # a-955
Henderson, NV 89052-2982

Mailing address

3150 N.Tenaya Way Suite 480
Mountainview Hospital
Las Vegas, NV 89128
Phone (702) 562-5831

Other practice location 1

3150 N Tenaya Way Suite 480
MountainView Hospital
Las Vegas, NV 89128
Phone (702) 562-5831

Other identifiers 1

IdentifierTypeStateIssuer
LL2741OtherNVNEVADA STATE BOARD OF MEDICAL EXAMINERS

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
I20191003003551 NV Practitioner - Internal Medicine 2062708977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

Practice addresses (Care Compare)

7495 W Azure Dr
Suite 209
Las Vegas, NV 89130-4440
Phone (702) 407-7700

Hospital & facility affiliations

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046

Merit-based Incentive Payment System (MIPS)

Final score
61.15 of 100Reported as group
Quality
36.67
Improvement activities
40
Cost
61.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18731NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Hospitalists LLP Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Platinum Hospitalists LLP Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

10624 S Eastern Ave
Ste A995
Henderson, NV 89052

10624 S Eastern Ave
Ste A955
Henderson, NV 89052
Phone (702) 407-7700

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

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

Interoperability endpoints

  • Direct secure messaging: leila.khalili@hca3.eclinicaldirectplus.com

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 7

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1053774646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N.TENAYA WAY SUITE 480",
            "address_2": "MOUNTAINVIEW HOSPITAL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-562-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE # A-955",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-800-5393",
            "fax_number": "702-407-7016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 N Tenaya Way Suite 480",
            "address_2": "MountainView Hospital",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89128",
            "country_code": "US",
            "telephone_number": "702-562-5831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALILI",
        "first_name": "LEILA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "18731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD OF MEDICAL EXAMINERS",
            "identifier": "LL2741",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.