Individual provider Active NPI

Sherif Abdou, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1316905656
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6986 Issued in NV
Practice address
700 E Warm Springs Rd
302
Las Vegas, NV 89119-4305
Phone
(702) 932-8530
Fax
(702) 932-8587
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

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
6986NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipn of Arizona, PLC Internal Medicine Past Accepting new patients
Inpatient Physicians Network of Nevada Internal Medicine Past Accepting new patients

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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 6986 NV Primary

Addresses

Primary practice location

700 E Warm Springs Rd
302
Las Vegas, NV 89119-4305

Mailing address

700 E Warm Springs Rd
#302
Las Vegas, NV 89119-4305
Phone (702) 464-8866

Other identifiers 2

IdentifierTypeStateIssuer
2019463MedicaidNV
65 1280664OtherNVTAX ID

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1316905656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E WARM SPRINGS RD",
            "address_2": "#302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194305",
            "telephone_number": "702-464-8866",
            "fax_number": "702-216-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E WARM SPRINGS RD",
            "address_2": "302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194305",
            "telephone_number": "702-932-8530",
            "fax_number": "702-932-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDOU",
        "first_name": "SHERIF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "6986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019463",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "65 1280664",
            "state": "NV"
        }
    ],
    "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 Jul 30, 2009; 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.