Individual provider Active NPI

Khurram Shamim Rehman, M.D.

  • Reproductive Endocrinology Physician
  • Las Vegas, NV
National Provider Identifier
1316096811
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
25221 Issued in NV
Practice address
5320 S Rainbow Blvd
Las Vegas, NV 89118-1895
Phone
(702) 935-4936
Fax
(702) 892-9666
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 25221 NV Primary
Reproductive Endocrinology Physician 207VE0102X 13814381-1205 UT

Addresses

Primary practice location

5320 S Rainbow Blvd
Las Vegas, NV 89118-1895

Mailing address

5320 S Rainbow Blvd
Las Vegas, NV 89118-1895
Phone (702) 935-4936

Other practice location 1

295 S 1470 E
St George, UT 84790-1961
Phone (435) 393-6620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25221NVMDReproductive Endocrinology Physician
13814381-1205UTMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Fertility Center Reproductive Endocrinology Current Accepting new patients
Overlake Medical Center & Clinics Past Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients

Locations

5320 S Rainbow Blvd
Ste 300
Las Vegas, NV 89118
Phone (702) 794-0073

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1316096811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181895",
            "telephone_number": "702-935-4936",
            "fax_number": "702-892-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181895",
            "telephone_number": "702-935-4936",
            "fax_number": "702-892-9666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 S 1470 E",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847901961",
            "country_code": "US",
            "telephone_number": "435-393-6620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "KHURRAM",
        "middle_name": "SHAMIM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NV",
            "license": "25221",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "UT",
            "license": "13814381-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.