Individual provider Active NPI

Behrooz Kevin Shamloo, M.D.

  • Medical Oncology Physician
  • Las Vegas, NV
National Provider Identifier
1124287339
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
13639 Issued in NV
Practice address
3022 S Durango Dr Ste 100
Las Vegas, NV 89117-4440
Phone
(702) 256-3637
Fax
(702) 256-3307
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13639 NV
Hematology & Oncology Physician 207RH0003X 13639 NV
Medical Oncology Physician 207RX0202X 13639 NV Primary

Addresses

Primary practice location

3022 S Durango Dr Ste 100
Las Vegas, NV 89117-4440

Mailing address

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117-1577
Phone (702) 304-2144

Other identifiers 2

IdentifierTypeStateIssuer
5153188OtherNVCIGNA
9285669OtherNVAETNA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000006 NV Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 5193863157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shamloo Blue Sky Treatment Center PLLCGroup PAC ID 8426283417, 5 clinicians

Practice addresses (Care Compare)

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 255-5000

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 961-5000

Hospital & facility affiliations

  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • University Medical Center Hospital, Las Vegas, NV, CCN 290007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bessler MD, PLLC Internal Medicine CurrentSince Mar 22, 2015 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Apr 1, 2017 Accepting new patients
Shamloo Blue Sky Treatment Center PLLC Medical Oncology CurrentSince Sep 2, 2013 Accepting new patients
Alexandria Hospitalists, LLC Past Accepting new patients
Susan Reisinger, MD Prof. Corp. PastSince Sep 23, 2024 Accepting new patients
Inpatient Specialists PA Internal Medicine Past Accepting new patients

Locations

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

4015 McLeod Dr
Las Vegas, NV 89121
Phone (702) 433-2200

2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

3150 N Tenaya Way
Ste 510
Las Vegas, NV 89128
Phone (702) 800-5055

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

2250 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 474-0200

Organizations & group practices 6

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1124287339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7391 W CHARLESTON BLVD",
            "address_2": "STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171577",
            "telephone_number": "702-304-2144",
            "fax_number": "702-304-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 S DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174440",
            "telephone_number": "702-256-3637",
            "fax_number": "702-256-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMLOO",
        "first_name": "BEHROOZ",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13639",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NV",
            "license": "13639",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NV",
            "license": "13639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5153188",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9285669",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.