NPIMap

Individual provider Active NPI

Shereef Takla, MD

  • Diagnostic Radiology Physician
  • Nellis AFB, NV
National Provider Identifier
1114351343
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28166 Issued in NE
Practice address
4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone
(702) 653-2273
NPI assigned
Aug 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 28166 NE Primary

Addresses

Primary practice location

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600

Mailing address

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210722001586 PA Practitioner - Diagnostic Radiology 1557583804 Reassigns benefits to 4 organizations
I20230405000735 NV Practitioner - Diagnostic Radiology 1557583804 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Monongahela Valley Hospital IncGroup PAC ID 0143117606, 41 clinicians
Sdmi, LLCGroup PAC ID 7911897053, 36 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3261

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 997-3470

2950 S Maryland Pkwy
Las Vegas, NV 89109-2204
Phone (702) 732-6000

401 E Murphy Ave
Connellsville, PA 15425-2724
Phone (724) 628-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center Diagnostic Radiology CurrentSince Jun 17, 2023 Accepting new patients
Highlands Hospital and Health Center CurrentSince Jan 12, 2023 Accepting new patients
Monongahela Valley Hospital, Inc. Diagnostic Radiology CurrentSince Jan 18, 2023 Accepting new patients
Dubois Regional Medical Center CurrentSince Jun 17, 2023 Accepting new patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Jan 18, 2023 Accepting new patients
Highlands Hospital and Health Center CurrentSince Jan 12, 2023 Accepting new patients
Sdmi, LLC Diagnostic Radiology CurrentSince Nov 4, 2024 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Mar 29, 2023 Accepting new patients
Monongahela Valley Hospital Inc Current Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Mar 29, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Hoffman, MD, Associated Pathologists Chartered Past Accepting new patients

Locations

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

800 N Gibson Rd
Ste 110
Henderson, NV 89011

4 Sunset Way
Henderson, NV 89014
Phone (215) 680-3255

2850 Siena Heights Dr
Henderson, NV 89052

6925 N Durango Dr
Las Vegas, NV 89149

9070 W Post Rd
Las Vegas, NV 89148

10040 Alta Dr
Ste 170
Las Vegas, NV 89145
Phone (701) 732-6000

2950 S Maryland Pkwy
Las Vegas, NV 89109

2767 N Tenaya Way
Las Vegas, NV 89128

8945 Lindell Rd
Las Vegas, NV 89139

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779

31 N Nellis Blvd
Las Vegas, NV 89110

800 Shadow Ln
Las Vegas, NV 89106
Phone (702) 366-9700

1650 W Craig Rd
Ste 100
North Las Vegas, NV 89032

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1114351343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKLA",
        "first_name": "SHEREEF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-23",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "28166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nellis AFB, NV

Sources for this page

Verify at the official NPI Registry.