NPIMap

Organization Active NPI

Heart Center of Nevada

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1063526960
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEART CENTER OF NEVADA
Practice address
700 Shadow LN.
Suite 240
Las Vegas, NV 89106-4158
Phone
(702) 384-0022
Fax
(702) 384-0529
NPI assigned
Aug 18, 2006
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Dr. Sohail Anjum, M.D.NPI 1336138676
Title
President
Phone
(702) 384-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NV Primary

Addresses

Primary practice location

700 Shadow LN.
Suite 240
Las Vegas, NV 89106-4158

Mailing address

700 Shadow LN.
Suite 240
Las Vegas, NV 89106-4158
Phone (702) 384-0022

Other identifiers 1

IdentifierTypeStateIssuer
100506158MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000436 NV Part B Supplier - Clinic/Group Practice 0042111825 Receives reassigned benefits from 20 practitioners
Practice locations: Las Vegas, NV; Henderson, NV

National Provider Directory

National Provider Directory

Locations

10001 S Eastern Ave
Ste 403
Henderson, NV 89052
Phone (702) 260-0022

2110 E Flamingo Rd
Ste 105
Las Vegas, NV 89119
Phone (702) 574-4095

4275 Burnham Ave
Ste 370
Las Vegas, NV 89119
Phone (702) 732-0022

5380 S Rainbow Blvd
Ste 226
Las Vegas, NV 89118
Phone (702) 260-0022

700 Shadow Ln
Ste 240
Las Vegas, NV 89106
Phone (702) 384-0022

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72343

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1063526960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN.",
            "address_2": "SUITE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064158",
            "telephone_number": "702-384-0022",
            "fax_number": "702-384-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN.",
            "address_2": "SUITE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064158",
            "telephone_number": "702-384-0022",
            "fax_number": "702-384-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CENTER OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "ANJUM",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-384-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506158",
            "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 May 3, 2024; 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.