Individual provider Active NPI

Nilofar Kuraishi, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1255372280
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6576 Issued in NV
Practice address
2870 S Maryland Pkwy Ste 110
Las Vegas, NV 89109-1548
Phone
(702) 733-0899
Fax
(702) 733-6380
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6576 NV Primary

Addresses

Primary practice location

2870 S Maryland Pkwy Ste 110
Las Vegas, NV 89109-1548

Mailing address

2870 S Maryland Pkwy Ste 110
Las Vegas, NV 89109-1548
Phone (702) 733-0899

Other identifiers 1

IdentifierTypeStateIssuer
002019298MedicaidNV

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
I20100114000573 NV Practitioner - Family Practice 8325104276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2870 S Maryland Pkwy
Suite 110
Las Vegas, NV 89109-1548
Phone (702) 733-0899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6576NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nilofar Kuraishi MD Family Medicine CurrentSince Mar 1, 2002 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

2870 S Maryland Pkwy
Ste 110
Las Vegas, NV 89109
Phone (702) 558-2382

3201 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 733-0899

3121 S Maryland Pkwy
Ste 204
Las Vegas, NV 89109
Phone (702) 733-0899

Organizations & group practices 4

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1255372280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091548",
            "telephone_number": "702-733-0899",
            "fax_number": "702-733-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091548",
            "telephone_number": "702-733-0899",
            "fax_number": "702-733-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURAISHI",
        "first_name": "NILOFAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "6576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019298",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.