Active NPI
Shahdad K Saeedi, DPM
- Sports Medicine Podiatrist
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine Podiatrist
- License
- 2076
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14621811 | Other | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | endpoint.status |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 83.33
- Improvement activities
- 40
- Cost
- 27.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1733 |
| Removal or shaving of skin growth | 1476 |
| Skin biopsy | 1-10 |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2076 | NV | MD | Acupuncturist |
| E5561 | CA | MD | Sports Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Foot Care, Inc. | Current | Accepting new patients | |
| Michael D. Kotzen, Inc. | Current | Accepting new patients | |
| Toe-Tal Family Footcare | Current | Accepting new patients | |
| Laser Foot Surgery Centers, LLC | Current | Accepting new patients | |
| Shahdad K Saeedi DPM PC | Current | 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
- 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.
-
- Podiatrist
- Henderson, NV
- NPI 1730927039
-
- Primary Podiatric Medicine Podiatrist
- Las Vegas, NV
- NPI 1821749615
-
- Medical Specialty Clinic/Center
- Henderson, NV
- NPI 1710528047
-
- Foot & Ankle Surgery Podiatrist
- Valley Village, CA
- NPI 1013105972
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1912534348
-
- Family Medicine Physician
- Draper, UT
- NPI 1073909594
-
- Podiatrist
- Santa Monica, CA
- NPI 1912014986
Sports Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.