Individual provider Active NPI

Nader Rouhani, DO

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1407825185
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1053 Issued in NV
Practice address
2350 W Charleston Blvd
Las Vegas, NV 89102-2149
Phone
(702) 877-8600
Fax
(702) 242-7944
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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 1053 NV Primary

Addresses

Primary practice location

2350 W Charleston Blvd
Las Vegas, NV 89102-2149

Mailing address

PO Box 15645
Las Vegas, NV 89114-5645

Other identifiers 1

IdentifierTypeStateIssuer
2018295MedicaidNV

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110615000082 NV Practitioner - Internal Medicine 5092992396 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of NevadaGroup PAC ID 9234022153, 57 clinicians

Practice addresses (Care Compare)

1909 S Jones Blvd
Las Vegas, NV 89146-1260
Phone (702) 486-6112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1053NVMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Jul 18, 2023 Accepting new patients
KND Development 59, LLC Current Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Dec 13, 2015 Accepting new patients
State of Nevada CurrentSince Dec 13, 2015 Accepting new patients
State of Nevada Current Accepting new patients
Southwest Medical Associates, Inc Internal Medicine CurrentSince Mar 5, 2002 Accepting new patients
Bessler MD, PLLC Internal Medicine CurrentSince Apr 28, 2015 Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

5110 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 352-9260

2350 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-5375

2250 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 474-0200

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1407825185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145645",
            "fax_number": "702-240-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022149",
            "telephone_number": "702-877-8600",
            "fax_number": "702-242-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUHANI",
        "first_name": "NADER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "1053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018295",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.