Individual provider Active NPI

Bishr Hijazi, MD

  • Surgery of the Hand (Surgery) Physician
  • Las Vegas, NV
National Provider Identifier
1235338641
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
12298 Issued in NV
Practice address
4982 South Rainbow Blvd
Unit #100
Las Vegas, NV 89118
Phone
(702) 233-4100
Fax
(702) 233-9002
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 12298 NV Primary

Addresses

Primary practice location

4982 South Rainbow Blvd
Unit #100
Las Vegas, NV 89118

Mailing address

4982 South Rainbow Blvd
Unit #100
Las Vegas, NV 89118-1111
Phone (702) 233-4100

Other practice location 1

7608 Bauble Ave
Las Vegas, NV 89128-2617
Phone (702) 374-5911

Other identifiers 2

IdentifierTypeStateIssuer
1407028426MedicaidNV
1235338641MedicaidNV

Other names 1

  • Dr. Bishr Hijazi Professional name

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
I20070917000522 NV Practitioner - Hand SurgeryPractitioner - General Surgery 2961596325 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4982 S Rainbow Blvd
Suite 100
Las Vegas, NV 89118-1111
Phone 70223341000

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bishr Hijazi MD Inc Surgery of the Hand CurrentSince Jul 15, 2018 Accepting new patients
Maisto Family Medical, LTD. Past Accepting new patients

Locations

7785 W Sahara Ave
Ste 102
Las Vegas, NV 89117
Phone (702) 233-4100

4982 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 233-4100

Organizations & group practices 2

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1235338641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4982 SOUTH RAINBOW BLVD",
            "address_2": "UNIT #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181111",
            "telephone_number": "702-233-4100",
            "fax_number": "702-233-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4982 SOUTH RAINBOW BLVD",
            "address_2": "UNIT #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-233-4100",
            "fax_number": "702-233-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7608 Bauble Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891282617",
            "country_code": "US",
            "telephone_number": "702-374-5911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIJAZI",
        "first_name": "BISHR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NV",
            "license": "12298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407028426",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235338641",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BISHR",
            "last_name": "HIJAZI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.