NPIMap

Individual provider Active NPI

Syed Irshad Pervaiz, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1326079096
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11875 Issued in NV
Practice address
4161 S Eastern Ave
Suite # B3
Las Vegas, NV 89119-5484
Phone
(702) 693-6222
Fax
(702) 369-6504
NPI assigned
Jul 5, 2006
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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 11875 NV Primary

Addresses

Primary practice location

4161 S Eastern Ave
Suite # B3
Las Vegas, NV 89119-5484

Mailing address

4161 S Eastern Ave
Suite # B3
Las Vegas, NV 89119-5484
Phone (702) 693-6222

Other identifiers 1

IdentifierTypeStateIssuer
100510145MedicaidNV

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
I20061027000091 NV Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Hospitalist 5799776050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist, Pediatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santa Rosa Medical Centers of Nevada IncGroup PAC ID 4587716964, 7 clinicians

Practice addresses (Care Compare)

4161 S Eastern Ave
Suite B3
Las Vegas, NV 89119-5483
Phone (702) 693-6222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
35.78 of 100Reported as individual
Quality
25
Improvement activities
0
Cost
69.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11875NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Medical Centers of Nevada, Inc. Internal Medicine CurrentSince May 22, 2009 Accepting new patients
Santa Rosa Medical Centers of Nevada, Inc Past Accepting new patients
Santa Rosa Medical Centers of Nevada, Inc. Past Accepting new patients
Santa Rosa Medical Centers of Nevada, Inc. Past Accepting new patients
Santa Rosa Medical Centers of Nevada, Inc. Past Accepting new patients
Santa Rosa Medical Centers of Nevada, Inc. Past Accepting new patients
Santa Rosa Medical Centers of Nevada, Inc Internal Medicine Past Accepting new patients
Santa Rosa Medical Centers of Nevada, Inc. Past Accepting new patients
Santa Rosa Medical Centers of Nevada, Inc Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Santa Rosa Medical Centers of Nevada, Inc. Past Accepting new patients
Santa Rosa Medical Centers of Nevada, Inc. Past Accepting new patients

Locations

4161 S Eastern Ave
Ste B3
Las Vegas, NV 89119
Phone (702) 693-5891

9310 S Eastern Ave
Ste 123
Las Vegas, NV 89123
Phone (702) 693-6222

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1326079096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 S EASTERN AVE",
            "address_2": "SUITE # B3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195484",
            "telephone_number": "702-693-6222",
            "fax_number": "702-369-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 S EASTERN AVE",
            "address_2": "SUITE # B3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195484",
            "telephone_number": "702-693-6222",
            "fax_number": "702-369-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVAIZ",
        "first_name": "SYED",
        "middle_name": "IRSHAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510145",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.