Ali Kia MD Inc – Internal Medicine Physician

Key facts

NPI: 1073777413
Entity type: Organization (NPI type 2)
Primary specialty: Internal Medicine Physician 207R00000X
License: 11940 (NV)
Legal business name: ALI KIA MD INC
Practice address: 2470 E Flamingo Rd
Las Vegas, NV 89121-5200
Phone: (702) 737-1427
Fax: (702) 478-7263
NPI assigned: Jul 15, 2008
Organization subpart: No

Authorized official

Name: Ali Kia, MD NPI 1861418436
Title: President
Phone: (909) 648-2383

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

Practitioners 1

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

Ali Kia, MD Internal Medicine Physician · Las Vegas, NV · NPI 1861418436

Medicare reassignment NPD Authorized official INTERNAL MEDICINE · NV

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NV

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20081111000648	NV	Part B Supplier - Clinic/Group Practice	6204995863	Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV

National Provider Directory

Locations

2540 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 476-5597

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207R00000X	11940	NV	Yes

Addresses

Primary practice location

2470 E Flamingo Rd
Las Vegas, NV 89121-5200

Mailing address

2540 S Maryland Pkwy
#196
Las Vegas, NV 89109-1627
Phone (909) 648-2383

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Internal Medicine Physician in Nevada

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.