NPIMap

Individual provider Active NPI

Omid Rad Pour, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
National Provider Identifier
1437367901
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
16069 Issued in NV
Practice address
9280 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4860
Phone
(702) 696-7256
Fax
(702) 796-7256
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 21625 MS
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 47788 TN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 16069 NV Primary

Addresses

Primary practice location

9280 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4860

Mailing address

PO Box 400475
Las Vegas, NV 89140-0475
Phone (702) 696-7256

Other identifiers 1

IdentifierTypeStateIssuer
06620853MedicaidMS

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
I20160219000709 NV Practitioner - Endocrinology 7113198219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Medical Group LLCGroup PAC ID 6204926298, 12 clinicians

Practice addresses (Care Compare)

9280 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4861
Phone (702) 696-7256

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.38 of 100Reported as group
Quality
79.19
Improvement activities
40
Cost
74.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Medical Group LLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 11, 2016 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Palm Medical Group, Nakhle MD, PLLC Endocrinology, Diabetes & Metabolism Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

3150 N Tenaya Way
Ste 415
Las Vegas, NV 89128
Phone (702) 240-0800

9280 W Sunset Rd
Ste 306
Las Vegas, NV 89148

Interoperability endpoints

  • Direct secure messaging: palmmedicalgroup.omidradpour@119082.advancedmd-direct.com

Organizations & group practices 5

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 2

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1437367901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400475",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891400475",
            "telephone_number": "702-696-7256",
            "fax_number": "702-796-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD",
            "address_2": "SUITE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484860",
            "telephone_number": "702-696-7256",
            "fax_number": "702-796-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAD POUR",
        "first_name": "OMID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": "21625",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TN",
            "license": "47788",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "16069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06620853",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.