Individual provider Active NPI

Raafat Khani, DO

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1487706180
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
915 Issued in NV
Practice address
4900 W Craig Rd
Las Vegas, NV 89130-2737
Phone
(725) 269-3368
Fax
(725) 293-5350
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 915 NV Primary

Addresses

Primary practice location

4900 W Craig Rd
Las Vegas, NV 89130-2737

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Other practice location 1

540 N Nellis Blvd
Las Vegas, NV 89110-5368
Phone (702) 877-5199

Other identifiers 1

IdentifierTypeStateIssuer
1487706180MedicaidNV

Other names 1

  • Raafat Mohammadkhani Former name

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
I20081210000417 NV Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 3779644620 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc Internal Medicine CurrentSince Mar 19, 2018 Accepting new patients
Humboldt General Hospital Current Accepting new patients
Archwell Health Professional Services of Nevada, P.C. Internal Medicine CurrentSince Apr 11, 2024 Accepting new patients
Optum Medical Group II Rhodes P C Internal Medicine CurrentSince Jun 9, 2019 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Albion Medical Group of Nevada, PC Internal Medicine PastSince Feb 1, 2012 Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Apr 23, 2016 Accepting new patients

Locations

1501 W Sunset Rd
Henderson, NV 89014
Phone (725) 269-7001

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

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

2704 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 243-8500

540 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-7424

4900 W Craig Rd
Las Vegas, NV 89130
Phone (725) 269-3368

118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: raafat.khani.p1@direct.caremorewest.nextgenshare.com

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1487706180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 W CRAIG RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302737",
            "telephone_number": "725-269-3368",
            "fax_number": "725-293-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 N Nellis Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891105368",
            "country_code": "US",
            "telephone_number": "702-877-5199",
            "fax_number": "702-459-0402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANI",
        "first_name": "RAAFAT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487706180",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAAFAT",
            "last_name": "MOHAMMADKHANI",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.