Individual provider Active NPI

Shahdad K Saeedi, DPM

  • Sports Medicine Podiatrist
  • Henderson, NV
National Provider Identifier
1245684166
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
2076 Issued in NV
Practice address
2440 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-2731
Phone
(702) 553-3338
Fax
(702) 725-2538
NPI assigned
Apr 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X E5561 CA
Sports Medicine Podiatrist 213ES0000X 2076 NV Primary

Addresses

Primary practice location

2440 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-2731

Mailing address

2440 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-2731
Phone (702) 553-3338

Other practice location 1

5400 Balboa Blvd Ste 325
Encino, CA 91316-5226
Phone (818) 907-6100

Other practice location 2

12520 Magnolia Blvd Ste 304
North Hollywood, CA 91607-2355
Phone (818) 452-9902

Other practice location 3

880 Seven Hills Dr Ste 150
Henderson, NV 89052-4380
Phone (833) 693-3381

Other practice location 4

6655 W Sahara Ave Ste D104
Las Vegas, NV 89146-0846
Phone (725) 205-2457

Other identifiers 1

IdentifierTypeStateIssuer
14621811OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL endpoint.status

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191111001607 CA Practitioner - Podiatry 4880026962 Reassigns benefits to 1 organization
I20220316001371 NV Practitioner - Podiatry 4880026962 Reassigns benefits to 4 organizations
I20240715003303 AZ Practitioner - Podiatry 4880026962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Foot Care IncGroup PAC ID 4981744257, 25 clinicians
Z and Z Podiatry LTDGroup PAC ID 8224287263, 2 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89146
Phone (818) 452-9902

1099 E Sunrise Ave
Kingman, AZ 86401-6825
Phone (702) 838-8558

12520 Magnolia Blvd
Suite 304
Valley Village, CA 91607-2355
Phone (818) 452-9902

2440 W Horizon Ridge Pkwy
Henderson, NV 89052-2727
Phone (702) 553-3388

7125 Grand Montecito Pkwy
Suite 110
Las Vegas, NV 89149-0261
Phone (702) 525-7320

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
27.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1733
Removal or shaving of skin growth1476
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2076NVMDAcupuncturist
E5561CAMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Foot Care, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Michael D. Kotzen, Inc. CurrentSince Sep 13, 2020 Accepting new patients
Toe-Tal Family Footcare CurrentSince Aug 3, 2023 Accepting new patients
Laser Foot Surgery Centers, LLC CurrentSince Feb 1, 2022 Accepting new patients
Shahdad K Saeedi DPM PC CurrentSince Dec 3, 2024 Accepting new patients
Garrison Medical Consultants PLLC Past Accepting new patients
University Foot and Ankle Institute a Podiatric Surgical Center Sports Medicine Past Accepting new patients
Toe-Tal Family Footcare Associates Sports Medicine Past Accepting new patients
Spencer J Hardenbrook MD PC Past Accepting new patients

Locations

2604 El Camino Real
Ste 311
Carlsbad, CA 92008

12520 Magnolia Blvd
Ste 304
Valley Vlg, CA 91607
Phone (818) 452-9902

2440 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 553-3388

2440 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 881-8191

880 Seven Hills Dr
Ste 150
Henderson, NV 89052
Phone (833) 693-3381

4950 S Rainbow Blvd
#150604
Las Vegas, NV 89118

6655 W Sahara Ave
Ste D104
Las Vegas, NV 89146
Phone (702) 686-2330

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/509568/r4

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1245684166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 W HORIZON RIDGE PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522731",
            "telephone_number": "702-553-3338",
            "fax_number": "702-725-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 W HORIZON RIDGE PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522731",
            "telephone_number": "702-553-3338",
            "fax_number": "702-725-2538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Balboa Blvd Ste 325",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913165226",
            "country_code": "US",
            "telephone_number": "818-907-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12520 Magnolia Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916072355",
            "country_code": "US",
            "telephone_number": "818-452-9902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 Seven Hills Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524380",
            "country_code": "US",
            "telephone_number": "833-693-3381",
            "fax_number": "702-852-0429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6655 W Sahara Ave Ste D104",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891460846",
            "country_code": "US",
            "telephone_number": "725-205-2457",
            "fax_number": "725-240-7742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAEEDI",
        "first_name": "SHAHDAD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E5561",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NV",
            "license": "2076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14621811",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "endpoint.status",
            "affiliation": "N",
            "address_1": "880 Seven Hills Dr Ste 150",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890524380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.