Individual provider Active NPI

Amir Shuja, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1083639603
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9948 Issued in NV
Practice address
47 Skybird CT
Las Vegas, NV 89135-7865
Phone
(702) 921-6823
Fax
(702) 549-5240
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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 9948 NV Primary

Addresses

Primary practice location

47 Skybird CT
Las Vegas, NV 89135-7865

Mailing address

47 Skybird CT
Las Vegas, NV 89135-7865
Phone (702) 921-6823

Other identifiers 1

IdentifierTypeStateIssuer
002018466MedicaidNV

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
I20050906000868 NV Practitioner - Internal Medicine 3971535485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5380 S Rainbow Blvd
Suite 112
Las Vegas, NV 89118-1878
Phone (702) 336-8204

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.34 of 100Reported as group
Quality
45.31
Improvement activities
40
Cost
82.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9948NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shuja and Associates Inc Internal Medicine CurrentSince Aug 20, 2005 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients

Locations

3540 W Sahara Ave
#330
Las Vegas, NV 89102
Phone 7029216823 ext. 2

5380 S Rainbow Blvd
Ste 112
Las Vegas, NV 89118
Phone (702) 336-8204

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

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 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1083639603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 SKYBIRD CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891357865",
            "telephone_number": "702-921-6823",
            "fax_number": "702-549-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 SKYBIRD CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891357865",
            "telephone_number": "702-921-6823",
            "fax_number": "702-549-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUJA",
        "first_name": "AMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018466",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.