Active NPI
Shahrouz Shadrou, M.D.
- Nephrology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 14655
- Practice address
- 2820 W Charleston Blvd Ste 33
Las Vegas, NV 89102-1934 - Phone
- (702) 880-1558
- Fax
- (702) 870-6821
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT189457 | PA | |
| Hospitalist Physician | 208M00000X | MD438178 | PA | |
| Nephrology Physician | 207RN0300X | 14655 | NV | Primary |
Addresses
Primary practice location
2820 W Charleston Blvd Ste 33
Las Vegas, NV 89102-1934
Mailing address
2820 W Charleston Blvd Ste 33
Las Vegas, NV 89102-1934
Phone (702) 880-1558
Other practice location 1
2810 W Charleston Blvd
Suite E-47
Las Vegas, NV 89102-1921
Phone (702) 880-1558
Other practice location 2
2810 W Charleston Blvd
Suite E-47
Las Vegas, NV 89102-1921
Phone (702) 880-1558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154534709 | Medicaid | NV |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2820 W Charleston Blvd
Suite 33
Las Vegas, NV 89102-1934
Phone (702) 880-1558
Hospital & facility affiliations
- DaVita Cheyenne Dialysis
- DaVita Southern Hills Dialysis Center
- Summerlin Hospital Medical Center
- Centennial Hills Hospital Medical Center
- Henderson Hospital
- Southern Hills Hospital and Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT189457 | PA | MD | Internal Medicine Physician |
| MD438178 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Qazi Makhija & Barney LLP | Nephrology | Current | Accepting new patients |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients |
Locations
2820 W Charleston Blvd
Ste B33
Las Vegas, NV 89102
2820 W Charleston Blvd
Ste D33
Las Vegas, NV 89102
2810 W Charleston Blvd
Ste E47
Las Vegas, NV 89102
Phone (702) 644-0500
657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571
4424 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 550-6868
2820 W Charleston Blvd
Ste 33
Las Vegas, NV 89102
Phone (702) 388-4428
Interoperability endpoints
- shahrouz.shadrou@direct.davitaphysiciansolutions.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Las Vegas, NV
- NPI 1548330046
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Las Vegas, NV
- NPI 1881961977
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Las Vegas, NV
- NPI 1467414565
Dialysis facility
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1295319085
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1942991245
Hospital
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1861234619
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1154534709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD STE 33",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021934",
"telephone_number": "702-880-1558",
"fax_number": "702-870-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD STE 33",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021934",
"telephone_number": "702-880-1558",
"fax_number": "702-870-6821"
}
],
"practiceLocations": [
{
"address_1": "2810 W Charleston Blvd",
"address_2": "Suite E-47",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021921",
"country_code": "US",
"telephone_number": "702-880-1558",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2810 W Charleston Blvd",
"address_2": "Suite E-47",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021921",
"country_code": "US",
"telephone_number": "702-880-1558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHADROU",
"first_name": "SHAHROUZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT189457",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD438178",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NV",
"license": "14655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154534709",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.