NPIMap

Individual provider Active NPI

Mehrdad A Tafreshi, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1437115292
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6718 Issued in NV
Practice address
4500 Meadows Lane
Las Vegas, NV 89107
Phone
(702) 258-8100
Fax
(702) 258-4244
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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 6718 NV Primary

Addresses

Primary practice location

4500 Meadows Lane
Las Vegas, NV 89107

Mailing address

4500 Meadows Lane
Las Vegas, NV 89107
Phone (702) 258-8100

Other identifiers 1

IdentifierTypeStateIssuer
002019248MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727001206 NV Practitioner - Internal Medicine 5799712675 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4500 Meadows LN
Las Vegas, NV 89107-2916
Phone (702) 258-8100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6718NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mehrdad a Tafreshi, MD,LTD Internal Medicine CurrentSince Jan 1, 1987 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

4500 Meadows Ln
Las Vegas, NV 89107
Phone (702) 258-8100

Organizations & group practices 8

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1437115292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MEADOWS LANE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89107",
            "telephone_number": "702-258-8100",
            "fax_number": "702-258-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEADOWS LANE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89107",
            "telephone_number": "702-258-8100",
            "fax_number": "702-258-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFRESHI",
        "first_name": "MEHRDAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "6718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019248",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.