NPIMap

Individual provider Active NPI

Shanker N Dixit, M.D.

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1477558674
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
9739 Issued in NV
Practice address
2440 Professional CT
Suite 150
Las Vegas, NV 89128-0838
Phone
(702) 405-3015
Fax
(702) 405-3017
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 38555 WI
Clinical Neurophysiology Physician 2084N0600X 9739 NV
Neurology Physician 2084N0400X 9739 NV Primary

Addresses

Primary practice location

2440 Professional CT
Suite 150
Las Vegas, NV 89128-0838

Mailing address

PO Box 33340
Las Vegas, NV 89133-3340
Phone (702) 405-3015

Other identifiers 2

IdentifierTypeStateIssuer
002018281MedicaidNV
32358700MedicaidWI

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
I20050531000166 NV Practitioner - Neurology 2668444886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shanker Dixit MD PCGroup PAC ID 0143315721, 3 clinicians

Practice addresses (Care Compare)

2480 Professional CT
Las Vegas, NV 89128-0835
Phone (702) 405-7100

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9739NVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shanker Dixit, MD PC Neurology CurrentSince Jul 1, 2007 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

2480 Professional Ct
Las Vegas, NV 89128
Phone (702) 405-3015

2440 Professional Ct
Ste 150
Las Vegas, NV 89128
Phone (702) 327-7602

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1477558674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33340",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891333340",
            "telephone_number": "702-405-3015",
            "fax_number": "702-405-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 PROFESSIONAL CT",
            "address_2": "SUITE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280838",
            "telephone_number": "702-405-3015",
            "fax_number": "702-405-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXIT",
        "first_name": "SHANKER",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "38555",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NV",
            "license": "9739",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "9739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018281",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32358700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.