Individual provider Active NPI

Vahid Moradi Gheisvandi

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1114871274
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
899073 Issued in NV
Practice address
10760 Meridian Mills Rd
Henderson, NV 89052-8686
Phone
(702) 606-1272
NPI assigned
Feb 25, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 899073 NV
Women's Health Nurse Practitioner 363LW0102X 899073 NV
Dermatology Physician 207N00000X 899073 NV
Family Nurse Practitioner 363LF0000X 899073 NV Primary

Addresses

Primary practice location

10760 Meridian Mills Rd
Henderson, NV 89052-8686

Mailing address

10760 Meridian Mills Rd
Henderson, NV 89052-8686
Phone (702) 606-1272

Other names 1

  • Van Moradi Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260605002095 NV Practitioner - Nurse Practitioner 3678044013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10760 Meridian Mills Rd
Henderson, NV 89052-8686

1280 E Calvada Blvd
Pahrump, NV 89048-5693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
899073NVMDPrimary Care Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1114871274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 MERIDIAN MILLS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528686",
            "telephone_number": "702-606-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 MERIDIAN MILLS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528686",
            "telephone_number": "702-606-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADI GHEISVANDI",
        "first_name": "VAHID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "899073",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NV",
            "license": "899073",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "899073",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "899073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VAN",
            "last_name": "MORADI",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.