Babak Ghadishah, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1112 Issued in NV

Practice address

201 N Buffalo Dr
Las Vegas, NV 89145-0373

Phone

(702) 242-2737

Fax

(702) 255-3170

NPI assigned

Jul 7, 2006

Last updated

Oct 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Osteopathic Manipulative Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine Spec of Southern NV Grossman Panikkar Ghadishah WhiGroup PAC ID 6507854049, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• True Harmony Home Health LLC Home health agency, Las Vegas, NV, CCN 297341
• Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

Merit-based Incentive Payment System (MIPS)

Final score

20.68 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

68.94

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bghadishah@internal-med-specialists.direct.kno2fy.com

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.

• Internal Medicine Spec of Southern NV Grossman Panikkar Ghadishah Whi

  dba Internal Medicine Specialists of Southern Nevada

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1013917640
  Medicare reassignment Care Compare group NPD Authorized official
• West Coast Wound and Skin Care Inc

  • Surgery Physician
  • Burbank, CA
  • NPI 1437675980

  NV

  Medicare reassignment NPD
• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1346230323
  NPD (past)
• Sunrise Mountainview Hospital, Inc.

  dba Mountainview Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831143817
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sunrise Mountainview Hospital, Inc.

  dba Mountainview Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1104870187
  Care Compare affiliation
• True Harmony Home Health LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1780324251
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1346272408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N BUFFALO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450373",
            "telephone_number": "702-242-2737",
            "fax_number": "702-255-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BUFFALO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450373",
            "telephone_number": "702-242-2737",
            "fax_number": "702-255-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHADISHAH",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "1112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503211",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meraf Gezai
• Elrah F Gfeller, PA-C
• Gge Enterprises LLC (Sunshinecarehome I & II)
• Gge Enterprises LLC Sunshine Care Home I&II
• Gge Enterprises LLC Sunshine Care Home I&II (Sunshine Care Home I & II)
• Karine Ghadyan
• Samer Ghafari
• Adam Ghafarji
• Kourosh Cyrus Ghaffari, M.D.
• Amir Ali Ghaffarian, MD

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.