Individual provider Active NPI

Eyerusalem Teffera

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1437040367
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667
Phone
(702) 483-6200
Fax
(702) 483-6202
NPI assigned
Jul 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667

Mailing address

715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667
Phone (702) 483-6200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129001909 NV Practitioner - Physician Assistant 7315425592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qureshi Al-Owir PLLCGroup PAC ID 4183763592, 18 clinicians

Practice addresses (Care Compare)

1050 W Galleria Dr
Henderson, NV 89011-4800
Phone (702) 963-7000

Hospital & facility affiliations

  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Qureshi Al-Owir PLLC CurrentSince Jan 8, 2026 Accepting new patients

Locations

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

715 Mall Ring Cir
Ste 202
Henderson, NV 89014
Phone (702) 483-5092

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

Organizations & group practices 1

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 4

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": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1437040367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MALL RING CIR STE 202",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146667",
            "telephone_number": "702-483-6200",
            "fax_number": "702-483-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MALL RING CIR STE 202",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146667",
            "telephone_number": "702-483-6200",
            "fax_number": "702-483-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEFFERA",
        "first_name": "EYERUSALEM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.