Badar Anwar MD PC – Primary Care Clinic/Center

Key facts

NPI: 1407043201
Entity type: Organization (NPI type 2)
Primary specialty: Primary Care Clinic/Center 261QP2300X
Legal business name: BADAR ANWAR MD PC
Practice address: 660 S Green Valley Pkwy Ste 100
Henderson, NV 89052-0431
Phone: (702) 731-9711
Fax: (702) 731-0096
NPI assigned: Sep 26, 2007
Organization subpart: No

Authorized official

Name: Dr. Badar Anwar, MD NPI 1861443640
Title: Doctor
Phone: (702) 731-9711

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

Badar Anwar, M.D. Internal Medicine Physician · Henderson, NV · NPI 1861443640

Medicare reassignment NPD Authorized official NV
Andrew Joseph Conlu, M.D. Internal Medicine Physician · Gold Beach, OR · NPI 1528018447

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
29D1043871	Anthem Medical Center 660 S Green Valley Pkwy Ste 100, Henderson, NV 89052	Certificate of waiver	Aug 3, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NV

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20040422000340	NV	Part B Supplier - Clinic/Group Practice	4587650858	Receives reassigned benefits from 1 practitioner Practice locations: Henderson, NV

National Provider Directory

Locations

660 S Green Valley Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 731-9711

2110 E Flamingo Rd
Ste 208
Las Vegas, NV 89119
Phone (702) 731-9711

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Clinic/Center	261QP2300X			Yes

Addresses

Primary practice location

660 S Green Valley Pkwy Ste 100
Henderson, NV 89052-0431

Mailing address

660 S Green Valley Pkwy Ste 100
Henderson, NV 89052-0431
Phone (702) 731-9711

Other identifiers

Identifier	Type	State	Issuer
002002602	Medicaid	NV

Other names

Anthem Medical Center Doing business as

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	badar.anwar@amc.praxisemr.phimailbox.com	Health Information Exchange (HIE)

Other providers in Henderson, NV

Beth A Bachman, NP
Bryan Bachman
Back Solutions
Back to Balance Chiropractic Center LLC
Salvador Bacquerie
Badger Hornfeld Chiropractic LLC
Charles Lewis Badger, D.C.
Shira Kristin Badger, D.C.
Kimberly Alison-Maribbay Badiola, MSN, FNP-BC
Laura Badovinac, DPT

All providers in Henderson, NV · Primary Care Clinic/Center in Nevada

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.