Active NPI
Selaiman Noori, MD
- Pain Medicine (Anesthesiology) Physician
- Lake Havasu City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 57811
- Practice address
- 25 Riviera Blvd
Lake Havasu City, AZ 86403-5694 - Phone
- (928) 505-7246
- NPI assigned
- Apr 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 57.245211 | OH | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 57811 | AZ | Primary |
Addresses
Primary practice location
25 Riviera Blvd
Lake Havasu City, AZ 86403-5694
Mailing address
1750 McCulloch Blvd N # 2548
Lake Havasu City, AZ 86403-6556
Other practice location 1
1791 Mesquite Ave
Lake Havasu City, AZ 86403-5648
Phone (928) 505-7246
Other practice location 2
3003 Highway 95 Ste 63
Bullhead City, AZ 86442-7896
Phone (928) 505-7246
Other practice location 3
5950 S Durango Dr Ste 105
Las Vegas, NV 89113-2270
Phone (702) 932-0606 ext. 212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200220000938 | AZ | Practitioner - Anesthesiology | 6406114412 | Reassigns benefits to 1 organization |
| I20220610002379 | NV | Practitioner - Anesthesiology | 6406114412 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York Medical College, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeside Orthopedic Institute LLCParagon Physical Therapy and Rehab LLC
Practice addresses (Care Compare)
25 Riviera Blvd
Lake Havasu City, AZ 86403-5694
Phone (928) 505-5555
2585 Miracle Mile
Bullhead City, AZ 86442-7522
5950 S Durango Dr
Suite 101
Las Vegas, NV 89113-2270
Phone (702) 462-9820
Hospital & facility affiliations
- Havasu Regional Medical Center
- Western Arizona Regional Medical Center
- Valley View Medical Center
- La Paz Regional Hospital
- Kingman Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.06 of 100
- Quality
- 68.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.59
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Orthopedic Institute LLC | Current | Accepting new patients | |
| Lakeside Orthopedic Institute LLC | Current | Accepting new patients | |
| Advanced Paincare LLP | Current | Accepting new patients | |
| Lakeside Orthopedic Institute LLC | Current | Accepting new patients | |
| Lakeside Orthopedic Institute LLC | Current | Accepting new patients | |
| Lakeside Orthopedic Institute, LLC | Past | Accepting new patients | |
| Lakeside Orthopedic Institute LLC | Past | Accepting new patients | |
| Vip Surg (Tsuda Ryan), PLLC | Past | Accepting new patients |
Locations
2440 Adobe Rd
Ste 101
Bullhead City, AZ 86442
Phone (928) 763-3181
3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555
1791 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 855-1444
25 Riviera Blvd
Lk Havasu Cty, AZ 86403
Phone (928) 505-7246
1720 Mesquite Ave
Ste 100
Lk Havasu Cty, AZ 86403
Phone (928) 855-1550
1944 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 505-9729
2505 Anthem Village Dr
#E625
Henderson, NV 89052
2865 Siena Heights Dr
Ste 120
Henderson, NV 89052
Phone (702) 932-0606
5950 S Durango Dr
Ste 101
Las Vegas, NV 89113
Phone (702) 462-9820
5950 S Durango Dr
Ste 105
Las Vegas, NV 89113
Phone (702) 487-6000
Interoperability endpoints
- ndi5449@yourcarecommunity.org
- https://fhir4.healow.com/fhir/r4/HDEDDD/Endpoint/HDEDDD
Organizations & group practices 9
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.
-
- Orthopaedic Surgery Physician
- Lake Havasu City, AZ
- NPI 1275564916
AZ
-
- Orthopaedic Surgery Physician
- Lake Havasu City, AZ
- NPI 1679764229
NV
-
- Mobile Radiology Clinic/Center
- Lake Havasu City, AZ
- NPI 1548936164
-
- Orthopaedic Surgery Physician
- Bullhead City, AZ
- NPI 1245965581
-
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1538694104
-
- Diagnostic Radiology Physician
- Lake Havasu City, AZ
- NPI 1528870243
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Lake Havasu City, AZ
- NPI 1912524380
-
- Surgery Physician
- Las Vegas, NV
- NPI 1306364914
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bullhead City, AZ
- NPI 1255302766
Hospital
-
- Urgent Care Clinic/Center
- Bullhead City, AZ
- NPI 1780996223
Hospital
-
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1104244631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 MCCULLOCH BLVD N # 2548",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864036556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 RIVIERA BLVD",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035694",
"telephone_number": "928-505-7246"
}
],
"practiceLocations": [
{
"address_1": "1791 Mesquite Ave",
"address_purpose": "LOCATION",
"city": "Lake Havasu City",
"state": "AZ",
"postal_code": "864035648",
"country_code": "US",
"telephone_number": "928-505-7246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3003 Highway 95 Ste 63",
"address_purpose": "LOCATION",
"city": "Bullhead City",
"state": "AZ",
"postal_code": "864427896",
"country_code": "US",
"telephone_number": "928-505-7246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5950 S Durango Dr Ste 105",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891132270",
"country_code": "US",
"telephone_number": "702-932-0606 x212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOORI",
"first_name": "SELAIMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-02",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "57.245211",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "57811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.