Active NPI
Kiarash L Mirkia, MD
- Surgery Physician
- Las Vegas, NV
National Provider Identifier
1063420701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 12548
- Practice address
- 5875 S Rainbow Blvd Ste 201
Las Vegas, NV 89118-2556 - Phone
- (702) 453-3799
- Fax
- (702) 453-5741
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 12548 | NV | Primary |
| Surgical Critical Care Physician | 2086S0102X | 12548 | NV |
Addresses
Primary practice location
5875 S Rainbow Blvd Ste 201
Las Vegas, NV 89118-2556
Mailing address
5875 S Rainbow Blvd
Ste 201
Las Vegas, NV 89118
Phone (702) 889-6292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chambers & Associates OBGYN and Gynecological Surgery PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Las Vegas, NV
- NPI 1730414491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494806400000",
"number": "1063420701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5875 S RAINBOW BLVD",
"address_2": "STE 201",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89118",
"telephone_number": "702-889-6292",
"fax_number": "702-979-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 S RAINBOW BLVD STE 201",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182556",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRKIA",
"first_name": "KIARASH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2017-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "12548",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NV",
"license": "12548",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.