Active NPI
Ali Shehata, D.O.
- Family Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO2829
- Practice address
- 4560 S Eastern Ave Ste 20
Las Vegas, NV 89119-6182 - Phone
- (888) 693-6258
- Fax
- (407) 550-6393
- NPI assigned
- Dec 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO2829 | NV | Primary |
Addresses
Primary practice location
4560 S Eastern Ave Ste 20
Las Vegas, NV 89119-6182
Mailing address
4560 S Eastern Ave Ste 20
Las Vegas, NV 89119-6182
Phone (888) 693-6258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205997665 | Medicaid | NV | |
| DO2829 | Other | NV | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, NV, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Mt Grant General Hospital
Practice addresses (Care Compare)
200 S a St
Hawthorne, NV 89415-1510
Phone (775) 945-2461
515 S Moore St
Blue Earth, MN 56013-2158
Phone (507) 526-7388
Hospital & facility affiliations
- Chippewa County Hospital
- United Hospital District
- Sanford Luverne Medical Center
- Mount Grant General Hospital
- Windom Area Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2975 | WI | MD | Clinical Social Worker |
| DO2829 | NV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Family Medicine | Current | Accepting new patients |
| Sanford Health Network | Current | Accepting new patients | |
| Cook County Hospital District | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Assoc Inc | Family Medicine | Current | Accepting new patients |
| United Hospital District Inc. | Family Medicine | Current | Accepting new patients |
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Windom Area Hospital | Current | Accepting new patients | |
| Pershing General Hospital | Current | Accepting new patients | |
| Mt Grant General Hospital | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| Windom Area Hospital | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Sanford Health Network | Current | Accepting new patients | |
| Healthcare Partners Medical Group Coats LTD | Family Medicine | Current | Accepting new patients |
| Sanford Health Network | Current | Accepting new patients | |
| Mt Grant General Hospital | Current | Accepting new patients | |
| Windom Area Hospital | Current | Accepting new patients | |
| Pershing General Hospital | Current | Accepting new patients | |
| Ely-Bloomenson Community Hospital | Current | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Fairfield Memorial Hospital | Past | Accepting new patients | |
| Allendale County Hospital Board | Past | Accepting new patients | |
| Williamsburg Regional Hospital | Past | Accepting new patients | |
| SCB Inc | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Pee Dee Foot Center, PA | Past | Accepting new patients | |
| Desert Springs Hospital | Past | Accepting new patients | |
| United Hospital District Inc. | Past | Accepting new patients |
Locations
515 S Moore St
Blue Earth, MN 56013
Phone (507) 526-3273
328 W Conan St
Ely, MN 55731
Phone (218) 365-3271
515 5th Ave W
Grand Marais, MN 55604
Phone (218) 387-3040
1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200
1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476
824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877
2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618
1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100
595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
4275 Burnham Ave
Ste 340
Las Vegas, NV 89119
Phone (702) 734-6363
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000
Interoperability endpoints
- ali.shehata.1@11938.direct.athenahealth.com
- ashehata877602@direct.gundersenhealth.org
- ashehata1778@direct.centracare.com
- ashehata877602@direct.emplifyhealth.org
Organizations & group practices 31
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.
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
Family Medicine
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
Family Medicine
-
- Critical Access Hospital
- Hawthorne, NV
- NPI 1801844527
-
- Critical Access Hospital
- Lovelock, NV
- NPI 1669490603
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
-
- Critical Access Hospital
- Grand Marais, MN
- NPI 1487712493
-
- Critical Access Hospital
- Ely, MN
- NPI 1770542904
-
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1619024197
-
- Critical Access Hospital
- Jackson, MN
- NPI 1326069097
-
- Critical Access Hospital
- Luverne, MN
- NPI 1497703045
-
- Family Medicine Physician
- Tracy, MN
- NPI 1699869875
-
- Critical Access Hospital
- Windom, MN
- NPI 1841288644
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hawthorne, NV
- NPI 1801844527
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
-
- Critical Access Hospital
- Luverne, MN
- NPI 1033495379
-
- Critical Access Hospital
- Luverne, MN
- NPI 1497703045
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
-
- Critical Access Hospital
- Windom, MN
- NPI 1841288644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1205997665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 S EASTERN AVE STE 20",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196182",
"telephone_number": "888-693-6258",
"fax_number": "407-550-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 S EASTERN AVE STE 20",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196182",
"telephone_number": "888-693-6258",
"fax_number": "407-550-6393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEHATA",
"first_name": "ALI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "DO2829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205997665",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DO2829",
"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 Jan 19, 2026; 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.