NPIMap

Individual provider Active NPI

Ahmad Noman, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1275657579
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13464 Issued in NV
Practice address
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone
(702) 824-0420
Fax
(702) 476-5789
NPI assigned
Mar 19, 2007
Last updated
May 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2010

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 13464 NV Primary

Addresses

Primary practice location

1800 W Charleston Blvd
Las Vegas, NV 89102-2329

Mailing address

840 S Rancho Dr Ste 4-566
Las Vegas, NV 89106-3837
Phone (702) 824-0420

Other identifiers 1

IdentifierTypeStateIssuer
13464OtherNVNEVADA STATE BOARD OF MEDICAL EXAMINERS LISENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000499 NV Practitioner - Internal Medicine 0648395012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahmad Noman MD PCGroup PAC ID 7517082977, 5 clinicians
Reza Mojtabavi, M.D. PLLCGroup PAC ID 8921144122, 2 clinicians

Practice addresses (Care Compare)

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 255-5000

3150 N Tenaya Way
Suite 240
Las Vegas, NV 89128-0459
Phone (702) 445-7770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13464NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmad Noman MD PC Internal Medicine CurrentSince May 6, 2010 Accepting new patients
Reza Mojtabavi, M.D. PLLC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Mojtabavi Medical Services PLLC / Neo Wound Care Internal Medicine Past Accepting new patients
Transitional Hospitals Corporation of Nevada LLC Past Accepting new patients
Las Vegas Operations, LLC Past Accepting new patients
Covenant Care Vegas, Inc. Past Accepting new patients

Locations

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3150 N Tenaya Way
Ste 240
Las Vegas, NV 89128
Phone (702) 360-8918

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

840 S Rancho Dr
Ste 4566
Las Vegas, NV 89106

Interoperability endpoints

  • Direct secure messaging: drnoman@direct.meditouchehr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1275657579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR STE 4-566",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-824-0420",
            "fax_number": "702-476-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022329",
            "telephone_number": "702-824-0420",
            "fax_number": "702-476-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOMAN",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD OF MEDICAL EXAMINERS LISENCE",
            "identifier": "13464",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.