Individual provider Active NPI

Babak Mahgerefteh, D.O.

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1124349063
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO1775 Issued in NV
Practice address
650 S Green Valley Pkwy Ste 110
Henderson, NV 89052-0425
Phone
(702) 427-4894
NPI assigned
Jun 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO1775 NV Primary

Addresses

Primary practice location

650 S Green Valley Pkwy Ste 110
Henderson, NV 89052-0425

Mailing address

650 S Green Valley Pkwy Ste 110
Henderson, NV 89052-0425
Phone (702) 427-4894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131211000028 NV Practitioner - Family PracticePractitioner - Internal Medicine 5799912127 Reassigns benefits to 1 organization
I20240524001230 NV Practitioner - Internal Medicine 5799912127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

Practice addresses (Care Compare)

7495 W Azure Dr
Suite 209
Las Vegas, NV 89130-4440
Phone (702) 407-7700

Hospital & facility affiliations

  • Amore Hospice Care Hospice, Las Vegas, NV, CCN 291637
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062

Merit-based Incentive Payment System (MIPS)

Final score
61.15 of 100Reported as group
Quality
36.67
Improvement activities
40
Cost
61.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1775NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amore Hospice Care Family Medicine CurrentSince Dec 8, 2022 Accepting new patients
Platinum Hospitalists LLP Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Platinum Hospitalists LLP Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Dignity Health Past Accepting new patients

Locations

10624 S Eastern Ave
Ste A995
Henderson, NV 89052

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

3821 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 330-0440

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amore Hospice CareLas Vegas, NV, CCN 291637 Hospice 5% Or Greater Indirect Ownership Interest (40%)
W-2 Managing Employee (50%)
Aug 17, 2021
Oct 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1124349063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S GREEN VALLEY PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520425",
            "telephone_number": "702-427-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S GREEN VALLEY PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520425",
            "telephone_number": "702-427-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHGEREFTEH",
        "first_name": "BABAK",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2022-10-07",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO1775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.