Individual provider Active NPI

Ahmad N Saab, MD, MPH

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1184614372
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13916 Issued in NV
Practice address
650 N Nellis Blvd
Las Vegas, NV 89110-5382
Phone
(702) 790-8000
NPI assigned
Oct 27, 2005
Last updated
Aug 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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 13916 NV Primary

Addresses

Primary practice location

650 N Nellis Blvd
Las Vegas, NV 89110-5382

Mailing address

650 N Nellis Blvd
Las Vegas, NV 89110-5382
Phone (702) 790-8000

Other identifiers 1

IdentifierTypeStateIssuer
1184614372MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahmad.saab1@15442.direct.athenahealth.com Direct

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
I20110920000727 NV Practitioner - Family Practice 3678528197

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients
Southwest Medical Associates, Inc CurrentSince May 1, 2015 Accepting new patients
Linda L. Johnson MD, LTD Past Accepting new patients
Ahmad Saab M.D., Faafp, a Professional Medical Corporation Family Medicine PastSince Mar 11, 1998 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

2825 Siena Heights Dr
Henderson, NV 89052
Phone (702) 616-7049

300 E Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 435-4301

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

650 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-7424

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1184614372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105382",
            "telephone_number": "702-790-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105382",
            "telephone_number": "702-790-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAB",
        "first_name": "AHMAD",
        "middle_name": "N",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "13916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184614372",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahmad.saab1@15442.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athenahealth provider direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "650 N Nellis Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891105382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.