Active NPI
Sharis Shamirian
- Internal Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21222
- Practice address
- 620 Shadow LN
Las Vegas, NV 89106-4119 - Phone
- (702) 388-8436
- Fax
- (702) 388-8431
- NPI assigned
- May 21, 2018
- Last updated
- Feb 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | SL1348 | NV | |
| Internal Medicine Physician | 207R00000X | 21222 | CA | Primary |
Addresses
Primary practice location
620 Shadow LN
Las Vegas, NV 89106-4119
Mailing address
10047 Sully Dr
Sun Valley, CA 91352-4270
Phone (818) 669-8011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL1348 | NV | MD | Internal Medicine Physician |
| 21222 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Platinum Hospitalists LLP | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| Platinum Hospitalists LLP | Internal Medicine | Current | Accepting new patients |
| Glendale Adventist Medical Center | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700
7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
dba Platinum Continuity and Specialty Clinic
- Internal Medicine Physician
- Henderson, NV
- NPI 1437948726
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- Glendale, CA
- NPI 1568137008
-
dba Adventist Health Glendale
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Glendale
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1154812659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10047 SULLY DR",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913524270",
"telephone_number": "818-669-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SHADOW LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064119",
"telephone_number": "702-388-8436",
"fax_number": "702-388-8431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMIRIAN",
"first_name": "SHARIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "SL1348",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "21222",
"primary": true
}
],
"identifiers": [],
"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 Feb 29, 2024; 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.