Individual provider Active NPI

Rajy M Rouweyha, M.D.

  • Ophthalmology Physician
  • Henderson, NV
National Provider Identifier
1306889498
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9903 Issued in NV
Practice address
1505 Wigwam Pkwy Ste 100
Henderson, NV 89074-8195
Phone
(702) 896-6043
Fax
(702) 896-9591
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9903 NV Primary

Addresses

Primary practice location

1505 Wigwam Pkwy Ste 100
Henderson, NV 89074-8195

Mailing address

1505 Wigwam Pkwy Ste 100
Henderson, NV 89074-8195
Phone (702) 896-6043

Other practice location 1

9100 W Post Rd
Las Vegas, NV 89148-2418
Phone (700) 896-6043

Other identifiers 1

IdentifierTypeStateIssuer
1306889498MedicaidNV

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
I20050330000618 NV Practitioner - Ophthalmology 9537115548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shepherd Eye Center LTDGroup PAC ID 9234125907, 42 clinicians

Practice addresses (Care Compare)

2020 Wellness Way
Suite 402
Las Vegas, NV 89106-4145
Phone (702) 896-6043

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
82.33
Improvement activities
40
Cost
79.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9903NVMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Sep 28, 2020 Accepting new patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Sep 28, 2020 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1627 Boulder City Pkwy
Boulder City, NV 89005
Phone (702) 294-2227

1505 Wigwam Pkwy
Ste 100
Henderson, NV 89074
Phone 70289660431563

2475 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 731-2088

2598 Windmill Pkwy
Henderson, NV 89074
Phone 7027327709244

50 S Stephanie St
Ste 101
Henderson, NV 89012

6850 N Durango Dr
Ste 104
Las Vegas, NV 89149

6850 N Durango Dr
Ste 106
Las Vegas, NV 89149

2100 N Rampart Blvd
Las Vegas, NV 89128
Phone (702) 731-2088

6850 N Durango Dr
Ste 404
Las Vegas, NV 89149
Phone (702) 731-2088

3575 Pecos McLeod
Las Vegas, NV 89121
Phone (512) 314-1612

2020 Wellness Way
Ste 402
Las Vegas, NV 89106
Phone (702) 387-1757

9100 W Post Rd
Las Vegas, NV 89148
Phone (702) 255-6665

2020 Wellness Way
Ste 401
Las Vegas, NV 89106
Phone (702) 380-1059

9455 W Russell Rd
Ste 100
Las Vegas, NV 89148

61 N Willow St
Ste 2
Mesquite, NV 89027
Phone (702) 346-3031

3610 S Nevada Highway 160
Ste 204
Pahrump, NV 89048
Phone (775) 363-9900

Interoperability endpoints

  • Direct secure messaging: rrouweyha12845@direct.umcsn.com

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1306889498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WIGWAM PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748195",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WIGWAM PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748195",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 W Post Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891482418",
            "country_code": "US",
            "telephone_number": "700-896-6043",
            "fax_number": "702-896-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUWEYHA",
        "first_name": "RAJY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "9903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306889498",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.