Individual provider Active NPI

Reem Manzoor Shuja, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1417994245
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16526 Issued in NV
Practice address
3540 W Sahara Ave # 330
Las Vegas, NV 89102-5816
Phone
(702) 921-6823
Fax
(702) 549-5240
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 217382 NY
Internal Medicine Physician 207R00000X 16526 NV Primary

Addresses

Primary practice location

3540 W Sahara Ave # 330
Las Vegas, NV 89102-5816

Mailing address

3540 W Sahara Ave
# 330
Las Vegas, NV 89102-5816
Phone (702) 921-6823

Other identifiers 1

IdentifierTypeStateIssuer
16526OtherNVMEDICAL LICENSE

Other names 1

  • Dr. Reem Manzoor Asif Former name

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
I20180215002775 NV Practitioner - Internal Medicine 5092075838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Health Care LLCGroup PAC ID 3577560457, 29 clinicians

Practice addresses (Care Compare)

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 853-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.34 of 100Reported as group
Quality
45.31
Improvement activities
40
Cost
82.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16526NVMDEmergency Medical Services (Emergency Medicine) Physician
217382NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shuja and Associates Inc Internal Medicine CurrentSince Aug 13, 2018 Accepting new patients
Pioneer Health Care LLC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
Sun River Health Inc. Past Accepting new patients
Mubder Health LLC Internal Medicine Past Accepting new patients

Locations

2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436

3540 W Sahara Ave
#330
Las Vegas, NV 89102
Phone 7029216823 ext. 2

5380 S Rainbow Blvd
Ste 112
Las Vegas, NV 89118
Phone (702) 336-8204

3540 W Sahara Ave
Ste 330
Las Vegas, NV 89102
Phone (702) 945-2321

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1417994245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 W SAHARA AVE",
            "address_2": "# 330",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025816",
            "telephone_number": "702-921-6823",
            "fax_number": "702-549-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 W SAHARA AVE # 330",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025816",
            "telephone_number": "702-921-6823",
            "fax_number": "702-549-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUJA",
        "first_name": "REEM",
        "middle_name": "MANZOOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217382",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "16526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "16526",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REEM",
            "last_name": "ASIF",
            "middle_name": "MANZOOR",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.