Organization Active NPI

S Saqib Ahmad MD a Professional Corporation

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1063489516
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11520 Issued in NV
Legal business name
S SAQIB AHMAD MD A PROFESSIONAL CORPORATION
Practice address
7700 Las Vegas Blvd S
8
Las Vegas, NV 89123-1757
Phone
(702) 337-2657
Fax
(702) 382-5388
NPI assigned
Mar 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
S Saqib Ahmad, M.D.
Title
Director Physican
Phone
(702) 372-6575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 11520 NV Primary

Addresses

Primary practice location

7700 Las Vegas Blvd S
8
Las Vegas, NV 89123-1757

Mailing address

9424 Valley Hills Ave
Las Vegas, NV 89134-0151
Phone (702) 869-9076

Other identifiers 1

IdentifierTypeStateIssuer
CS13287OtherNVSTATE PHARMACY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060202000776 NV Part B Supplier - Clinic/Group Practice 9638183205 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1063489516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 VALLEY HILLS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340151",
            "telephone_number": "702-869-9076",
            "fax_number": "702-382-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LAS VEGAS BLVD S",
            "address_2": "8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231757",
            "telephone_number": "702-337-2657",
            "fax_number": "702-382-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S SAQIB AHMAD MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "SAQIB",
        "authorized_official_title_or_position": "DIRECTOR PHYSICAN",
        "authorized_official_telephone_number": "702-372-6575",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "CS13287",
            "state": "NV"
        }
    ],
    "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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.