Individual provider Active NPI

Ramin Etebar, MD LTD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1275568883
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6788 Issued in NV
Practice address
2875 S Nellis Blvd Ste 3
Las Vegas, NV 89121-2087
Phone
(702) 843-2420
Fax
(833) 749-0351
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6788 NV Primary

Addresses

Primary practice location

2875 S Nellis Blvd Ste 3
Las Vegas, NV 89121-2087

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

525 Marks St.
Henderson, NV 89014
Phone (702) 383-6210

Other identifiers 1

IdentifierTypeStateIssuer
002019316MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ramin.etebar.1@29601.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071105000104 NV Practitioner - Internal Medicine 7012004260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care NV PC Internal Medicine CurrentSince Aug 18, 2025 Accepting new patients
Centerwell Senior Primary Care (NV) PC Internal Medicine CurrentSince Aug 18, 2025 Accepting new patients
Centerwell Senior Primary Care NV P C Internal Medicine Past Accepting new patients
Centerwell Senior Primary Care (NV) PC Internal Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

2875 S Nellis Blvd
Ste 3
Las Vegas, NV 89121
Phone (702) 843-2420

Interoperability endpoints

  • Direct secure messaging: ramin.etebar@centerwell.eclinicaldirectplus.com

Organizations & group practices 5

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1275568883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 S NELLIS BLVD STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212087",
            "telephone_number": "702-843-2420",
            "fax_number": "833-749-0351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Marks St.",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "89014",
            "country_code": "US",
            "telephone_number": "702-383-6210",
            "fax_number": "702-435-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETEBAR",
        "first_name": "RAMIN",
        "credential": "MD LTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "6788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019316",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ramin.etebar.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2875 S Nellis Blvd Ste 3",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891212087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.