Organization Active NPI

Bishr Hijazi MD Inc

Doing business as The Hand & Wrist Specialty Center

  • Surgery of the Hand (Surgery) Physician
  • Las Vegas, NV
National Provider Identifier
1407028426
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
NV12298 Issued in NV
Legal business name
BISHR HIJAZI MD INC
Doing business as
The Hand & Wrist Specialty Center
Practice address
4982 South Rainbow Blvd
Suite 100
Las Vegas, NV 89118-1111
Phone
(702) 233-4100
Fax
(702) 233-9002
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Sheri Carmean
Title
Manager
Phone
(702) 233-4100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0105X NV12298 NV Primary
Medical Specialty Clinic/Center 261QM2500X C20110322-1075 NV

Addresses

Primary practice location

4982 South Rainbow Blvd
Suite 100
Las Vegas, NV 89118-1111

Mailing address

4982 South Rainbow Blvd
Suite 100
Las Vegas, NV 89118-1111
Phone (702) 233-4100

Other practice location 1

7785 W. Sahara Ave
Suite #102
Las Vegas, NV 89117-2789
Phone (702) 233-4100

Other identifiers 2

IdentifierTypeStateIssuer
1235338641MedicaidNV
1407028426MedicaidNV

Other names 1

  • The Hand & Wrist Specialty Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190214001218 NV Part B Supplier - Clinic/Group Practice 4880950823 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

4982 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 233-4100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1407028426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4982 SOUTH RAINBOW BLVD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181111",
            "telephone_number": "702-233-4100",
            "fax_number": "702-233-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4982 SOUTH RAINBOW BLVD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181111",
            "telephone_number": "702-233-4100",
            "fax_number": "702-233-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7785 W. Sahara Ave",
            "address_2": "SUITE #102",
            "address_purpose": "LOCATION",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172789",
            "country_code": "US",
            "telephone_number": "702-233-4100",
            "fax_number": "702-233-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BISHR HIJAZI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CARMEAN",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-233-4100"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NV",
            "license": "NV12298",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NV",
            "license": "C20110322-1075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235338641",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407028426",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hand & Wrist Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.