Ekaterine Asambadze, MD
Individual provider Active NPI Internal Medicine Physician · Las Vegas, NV
NPI 1114190261 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1114190261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 13178 (NV)
- Practice address
- 1800 W Charleston Blvd
Las Vegas, NV 89102 - Phone
- (702) 207-8263
- Fax
- (702) 207-8256
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Medical Center of Southern Nevada
Practice addresses (Care Compare)
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000
Hospital & facility affiliations
- University Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091230000503 | NV | Practitioner - Hospitalist |
2961543780 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13178 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rabessler MD PC | Family Medicine | Current |
Accepting new patients |
| Bessler MD, PLLC | Family Medicine | Current |
Accepting new patients |
| University Medical Center of Southern Nevada | Current |
Accepting new patients | |
| University Medical Center of Southern Nevada | Current |
Accepting new patients |
Locations
102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
Interoperability endpoints
- easambadze18486@direct.umcsn.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 13178 | NV | |
| Internal Medicine Physician | 207R00000X | 13178 | NV | Yes |
Addresses
Primary practice location
1800 W Charleston Blvd
Las Vegas, NV 89102
Mailing address
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8263
Other providers in Las Vegas, NV
- Paul George Asaad
- Shadaba Asad
- Tricia Asada
- Saira Mir Asadullah
- Monika Asamaphand
- Esther Asamoah
- Amy Asamoto
- Leslie Asanga
- Kristi A Asante
- Asap Behavioral Support Services
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 Oct 30, 2024. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.