Individual provider Active NPI

Shehram Djafroodi, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1467996918
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1800 W Charleston Blvd
Ed
Las Vegas, NV 89102-2329
Phone
(702) 383-2000
NPI assigned
Dec 16, 2016
Last updated
Dec 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

1800 W Charleston Blvd
Ed
Las Vegas, NV 89102-2329

Mailing address

901 Rancho LN Ste 135
Las Vegas, NV 89106-3826

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
I20170118001813 NV Practitioner - Physician Assistant 8628350154 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

149 N Gibson Rd
Suite H
Henderson, NV 89014-6763
Phone (702) 558-6275

5850 S Polaris Rd
Suite 100
Las Vegas, NV 89118-3185
Phone (702) 739-9957

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Schillinger Emergency Group, PC Physician Assistant CurrentSince May 23, 2018 Accepting new patients
American Current Care P.a. CurrentSince Feb 3, 2020 Accepting new patients
American Current Care PA CurrentSince Feb 3, 2020 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Apr 23, 2018 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Apr 23, 2018 Accepting new patients

Locations

149 N Gibson Rd
Ste H
Henderson, NV 89014
Phone (702) 558-6275

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

4980 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 216-7365

255 Glendale Ave
Ste 12
Sparks, NV 89431
Phone (775) 356-8181

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1467996918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RANCHO LN STE 135",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "address_2": "ED",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022329",
            "telephone_number": "702-383-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJAFROODI",
        "first_name": "SHEHRAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.