Organization Active NPI

Shuja and Associates Inc

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1093820169
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9948 Issued in NV
Legal business name
SHUJA AND ASSOCIATES INC
Practice address
3540 W Sahara Ave
330
Las Vegas, NV 89102-5816
Phone
(702) 921-6823
Fax
(702) 549-5240
NPI assigned
Aug 20, 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
Dr. Amir Shuja, MDNPI 1083639603
Title
President
Phone
(702) 921-6823

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 9948 NV Primary
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X 9948 NV

Addresses

Primary practice location

3540 W Sahara Ave
330
Las Vegas, NV 89102-5816

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000714 NV Part B Supplier - Clinic/Group Practice 0840225462 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1093820169",
    "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": "3540 W SAHARA AVE",
            "address_2": "330",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025816",
            "telephone_number": "702-921-6823",
            "fax_number": "702-549-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUJA AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHUJA",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-921-6823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9948",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "9948",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018466",
            "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.