Himansu R Shah, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

NV10134 Issued in NV

Practice address

3035 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-4188

Phone

(702) 684-5502

Fax

(702) 684-5503

NPI assigned

Jan 4, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Plastic and Reconstructive Surgery

Education

Rutgers New Jersey Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Himansu Shah, MD, PLLC

  dba Signature (Institute of Aesthetic Sculpting)

  • Plastic Surgery Physician
  • Henderson, NV
  • NPI 1295986156
  Medicare reassignment NPD Authorized official
• Himansu Shah, MD, PLLC

  dba Signature Plastic Surgery & Dermatology

  • Plastic Surgery Physician
  • Las Vegas, NV
  • NPI 1841867413
  NPD Authorized official
• Dignity Health

  dba St. Rose Dominican Hospital, Siena Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  NPD (past)
• Summerlin Hospital Medical Center L L C

  dba Summerlin Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  NPD (past)
• Sunrise Hospital and Medical Center, LLC

  dba Sunrise Hospital and Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1689611774
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1417935065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 W HORIZON RIDGE PKWY",
            "address_2": "# 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524188",
            "telephone_number": "702-684-5502",
            "fax_number": "702-684-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524188",
            "telephone_number": "702-684-5502",
            "fax_number": "702-684-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HIMANSU",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "NV10134",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NV",
            "license": "NV 10134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY/CDS",
            "identifier": "CS11151",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018548",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly Shadid, MFT
• Shadow Emergency Physicians PLLC
• Kathryn Shaffer
• Lisa Brooke Shaffer, PSYD
• Shah Healthcare PLLC (Usaid)
• Kenneth Jayendra Shah, M.D.
• Lopa H. Shah, M.D.
• Meika Shah, MD
• Nirja Shah
• Darya Shahbazy

• Plastic Surgery Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Plastic Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.