NPIMap

Organization Active NPI

Himansu Shah, MD, PLLC

  • Plastic Surgery Physician
  • Henderson, NV
National Provider Identifier
1295986156
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
10134 Issued in NV
Legal business name
HIMANSU SHAH, MD, PLLC
Practice address
3035 W Horizon Ridge Pkwy
Ste. 100
Henderson, NV 89052-4188
Phone
(702) 684-5502
Fax
(702) 684-5503
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Dr. Himansu Shah, MDNPI 1417935065
Title
President/Owner
Phone
(702) 684-5502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X 10134 NV Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2082S0105X 10134 NV

Addresses

Primary practice location

3035 W Horizon Ridge Pkwy
Ste. 100
Henderson, NV 89052-4188

Mailing address

2508 Skippers Cove Ave
Henderson, NV 89052-5607
Phone (702) 684-5502

Other names 1

  • Signature (Institute of Aesthetic Sculpting) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090519000433 NV Part B Supplier - Clinic/Group Practice 5092864231 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6930 S Cimarron Rd
Ste 100
Las Vegas, NV 89113
Phone (702) 368-6778

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1295986156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 SKIPPERS COVE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525607",
            "telephone_number": "702-684-5502",
            "fax_number": "702-684-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 W HORIZON RIDGE PKWY",
            "address_2": "STE. 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524188",
            "telephone_number": "702-684-5502",
            "fax_number": "702-684-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIMANSU SHAH, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HIMANSU",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "702-684-5502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "10134",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NV",
            "license": "10134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature (Institute of Aesthetic Sculpting)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.