Individual provider Active NPI

Hovsep Stambulyan, MD

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1154024735
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28392 Issued in NV
Practice address
670 S Green Valley Pkwy Ste 100
Henderson, NV 89052-0434
Phone
(725) 262-4244
Fax
(725) 745-6506
NPI assigned
Mar 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28392 NV Primary

Addresses

Primary practice location

670 S Green Valley Pkwy Ste 100
Henderson, NV 89052-0434

Mailing address

670 S Green Valley Pkwy Ste 100
Henderson, NV 89052-0434
Phone (725) 262-4244

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
I20230808002515 NV Order and Referring Only - Family PracticePractitioner - Family Practice 1951763978

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stambulyan Med PLLC Family Medicine Past Accepting new patients

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": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1154024735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 S GREEN VALLEY PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520434",
            "telephone_number": "725-262-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 S GREEN VALLEY PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520434",
            "telephone_number": "725-262-4244",
            "fax_number": "725-745-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBULYAN",
        "first_name": "HOVSEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "28392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.