Individual provider Active NPI

Reza Vaghefi Hosseini, MD

  • Infectious Disease Physician
  • Las Vegas, NV
National Provider Identifier
1184868093
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
14186 Issued in NV
Practice address
3483 S Eastern Ave
Las Vegas, NV 89169-3314
Phone
(702) 309-2311
NPI assigned
Apr 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 14186 NV Primary

Addresses

Primary practice location

3483 S Eastern Ave
Las Vegas, NV 89169-3314

Mailing address

3483 S Eastern Ave
Las Vegas, NV 89169-3314
Phone (702) 309-2311

Other practice location 1

7391 W Charleston Blvd Ste 140
Las Vegas, NV 89117-1577
Phone (702) 304-2144

Other practice location 2

2931 N Tenaya Way Ste 206
Las Vegas, NV 89128-0458
Phone (702) 309-2311

Other identifiers 1

IdentifierTypeStateIssuer
14186OtherNVLICENSE

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
I20200609000988 NV Practitioner - Infectious DiseasePractitioner - Internal Medicine 0840441200 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3483 S Eastern Ave
Las Vegas, NV 89169-3314
Phone (702) 309-2311

Hospital & facility affiliations

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

Merit-based Incentive Payment System (MIPS)

Final score
65.97 of 100Reported as individual
Quality
82.79
Improvement activities
0
Cost
76.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reza Vaghefi Prof Corp Infectious Disease CurrentSince Apr 30, 2021 Accepting new patients
Ronald a Shockley MD a Professional Corporation Infectious Disease CurrentSince Jul 15, 2020 Accepting new patients
Comprehensive Infectious Disease of Nevada Infectious Disease CurrentSince Apr 30, 2021 Accepting new patients

Locations

2900 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 307-5522

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

801 S Rancho Dr
Ste B2
Las Vegas, NV 89106
Phone (702) 331-4808

2931 N Tenaya Way
Ste 206
Las Vegas, NV 89128
Phone (702) 291-8511

3483 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 309-2311

Interoperability endpoints

  • Direct secure messaging: reza.vaghefihosseini@485048687984644.direct.elationemr.com

Organizations & group practices 3

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 1

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": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1184868093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3483 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693314",
            "telephone_number": "702-309-2311",
            "fax_number": "702-309-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693314",
            "telephone_number": "702-309-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7391 W Charleston Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891171577",
            "country_code": "US",
            "telephone_number": "702-304-2144",
            "fax_number": "702-304-2147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2931 N Tenaya Way Ste 206",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280458",
            "country_code": "US",
            "telephone_number": "702-309-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAGHEFI HOSSEINI",
        "first_name": "REZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "14186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14186",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.