Individual provider Active NPI

Sana Safaei, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1457347304
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11497 Issued in NV
Practice address
2035 Village Center Cir Ste 110
Las Vegas, NV 89134-6251
Phone
(702) 228-7117
Fax
(702) 804-5365
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34384 AZ
Family Medicine Physician 207Q00000X 11497 NV Primary

Addresses

Primary practice location

2035 Village Center Cir Ste 110
Las Vegas, NV 89134-6251

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

9499 W Charleston Blvd
Ste 150
Las Vegas, NV 89117-7147
Phone (702) 228-5477

Other identifiers 2

IdentifierTypeStateIssuer
11497OtherNVSTATE LICENSE
1457347304MedicaidNV

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
I20051031000371 NV Practitioner - Family Practice 0244257145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Holdings Nevada IncGroup PAC ID 7416054622, 311 clinicians

Practice addresses (Care Compare)

2035 Village Ctr Cir
Suite 110
Las Vegas, NV 89134-6251
Phone (702) 228-7117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34384AZMDFamily Medicine Physician
11497NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
A Nicknam PC Family Medicine CurrentSince Dec 13, 2014 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 1, 2022 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients

Locations

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

9499 W Charleston Blvd
Ste 150
Las Vegas, NV 89117
Phone (702) 228-5477

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

2035 Village Center Cir
Ste 110
Las Vegas, NV 89134
Phone (702) 228-7117

4060 N Martin L King Blvd
Ste 101
North Las Vegas, NV 89032
Phone (702) 380-1712

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: sanasafaei@hcpnv.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1457347304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 VILLAGE CENTER CIR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346251",
            "telephone_number": "702-228-7117",
            "fax_number": "702-804-5365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9499 W Charleston Blvd",
            "address_2": "Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891177147",
            "country_code": "US",
            "telephone_number": "702-228-5477",
            "fax_number": "702-255-4915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAFAEI",
        "first_name": "SANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34384",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11497",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457347304",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.