NPIMap

Individual provider Active NPI

Khalid A Kamal, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
National Provider Identifier
1396790838
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A41871 Issued in CA
Practice address
2225 E Flamingo Rd Ste 105
Las Vegas, NV 89119-5126
Phone
(702) 419-7529
Fax
(702) 533-8151
NPI assigned
May 23, 2006
Last updated
Oct 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A41871 CA Primary

Addresses

Primary practice location

2225 E Flamingo Rd Ste 105
Las Vegas, NV 89119-5126

Mailing address

2225 E Flamingo Rd Ste 105
Las Vegas, NV 89119-5126
Phone (702) 419-7529

Other practice location 1

8701 Camino Media
Suite C
Bakersfield, CA 93311-1335
Phone (661) 616-5726

Other identifiers 1

IdentifierTypeStateIssuer
A41871OtherCALICENSE

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
I20070222000509 NV Practitioner - Physical Medicine and RehabilitationPractitioner - Internal Medicine 4385634013 Reassigns benefits to 2 organizations
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Internal Medicine
Education
University of Nebraska College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Specialist of Henderson IncGroup PAC ID 1456339753, 3 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89117
Phone (702) 524-9858

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A41871CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Specialist of Henderson Inc Physical Medicine & Rehabilitation CurrentSince Jun 6, 2015 Accepting new patients
Physical Medicine and Pain Management of Nevada, LLC CurrentSince Oct 21, 2017 Accepting new patients
Munawar a Qurashi MD LLC Physical Medicine & Rehabilitation CurrentSince Oct 15, 2014 Accepting new patients
Luisa Pineda, M.D., Inc. Past Accepting new patients
Richard B Levin MD Inc Past Accepting new patients
Starline Hospice, Inc. Past Accepting new patients
Bradford Anderson MD Inc a Professional Corporation PastSince Sep 17, 2012 Accepting new patients
Dual Diagnosis Assessment and Treatment Center Inc Past Accepting new patients
Hyung Won Oh,Inc. Past Accepting new patients

Locations

10301 Jeffreys St
Henderson, NV 89052
Phone (702) 269-0781

3022 S Durango Dr
Ste 100
Las Vegas, NV 89117
Phone (702) 210-9423

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

9850 S Maryland Pkwy
Ste A
Las Vegas, NV 89183

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8135/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1396790838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E FLAMINGO RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195126",
            "telephone_number": "702-419-7529",
            "fax_number": "702-533-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E FLAMINGO RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195126",
            "telephone_number": "702-419-7529",
            "fax_number": "702-533-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 Camino Media",
            "address_2": "SUITE C",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933111335",
            "country_code": "US",
            "telephone_number": "661-616-5726",
            "fax_number": "661-616-5728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMAL",
        "first_name": "KHALID",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A41871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A41871",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.