Individual provider Active NPI

Rani M Kharrubi, MD

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1184886749
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13974 Issued in NV
Practice address
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone
(702) 671-2200
Fax
(702) 385-7719
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 13974 NV Primary

Addresses

Primary practice location

1800 W Charleston Blvd
Las Vegas, NV 89102-2329

Mailing address

1701 W Charleston Blvd
#215
Las Vegas, NV 89102-2325
Phone (702) 671-2355

Other identifiers 1

IdentifierTypeStateIssuer
1184601239MedicaidNV

Other names 1

  • Rani M Kharrubi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110823000438 NV Practitioner - Pediatric MedicinePractitioner - Internal Medicine 3274703616 Reassigns benefits to 2 organizations
I20241213003288 CA Practitioner - Hospitalist 3274703616 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine CurrentSince Jul 31, 2017 Accepting new patients
Unlv Medicine Current Accepting new patients
Unlv Medicine CurrentSince Jul 31, 2017 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 1, 2024 Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Dignity Health Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Caremeridian, LLC Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

1020 29th St
Ste 480
Sacramento, CA 95816
Phone (916) 887-0780

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1524 Pinto Ln
Fl 3
Las Vegas, NV 89106
Phone (702) 944-2828

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

5380 S Rainbow Blvd
Ste 324
Las Vegas, NV 89118
Phone (702) 992-6828

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

1701 W Charleston Blvd
Ste 250
Las Vegas, NV 89102
Phone (702) 671-2341

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

Organizations & group practices 10

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1184886749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD",
            "address_2": "#215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022325",
            "telephone_number": "702-671-2355",
            "fax_number": "702-382-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022329",
            "telephone_number": "702-671-2200",
            "fax_number": "702-385-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHARRUBI",
        "first_name": "RANI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "13974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184601239",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANI",
            "last_name": "KHARRUBI",
            "middle_name": "M",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.