Farooq Abdulla, MD
Individual provider Active NPI Pediatrics Physician · Pahrump, NV
NPI 1497732093 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1497732093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 6413 (NV)
- Practice address
- 1430 E Calvada Blvd Ste 200
Pahrump, NV 89048-5852 - Phone
- (775) 751-4600
- Fax
- (775) 751-2094
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040308000688 | NV | Practitioner - Pediatric Medicine | 4789581844 | Reassigns benefits to 1 organization |
| I20150105001753 | TX | Practitioner - Pediatric Medicine | 4789581844 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Texas Billing, Inc. | Pediatrics | Current |
Accepting new patients |
| Magella Medical Associates Billing, Inc. | Neonatal-Perinatal Medicine | Current |
Accepting new patients |
| Healthcare Partners Medical Group Coats LTD | Pediatrics | Current | Accepting new patients |
| University Medical Center of Southern Nevada | Current |
Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Pediatrics | Past | Accepting new patients |
| Southern Hills Medical Center, LLC | Past | Accepting new patients | |
| Spring Valley Medical Center | Past | Accepting new patients | |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients | |
| Henderson Hospital | Past | Accepting new patients | |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients | |
| Ahn, Abdulla & Krishnan, M.D., LTD | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Pokroy Medical Group of Nevada, LTD. | Pediatrics | Past | Accepting new patients |
| Sanjay Kandoth MD PC | Pediatrics | Past | Accepting new patients |
| Sanjay Kandoth MD PC | Pediatrics | Past | Accepting new patients |
Locations
770 The City Dr S
Ste 4000
Orange, CA 92868
Phone (800) 463-6628
595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
7200 Smoke Ranch Rd
Ste 150
Las Vegas, NV 89128
Phone (702) 820-5437
3061 S Maryland Pkwy
Ste 101
Las Vegas, NV 89109
Phone (702) 254-5437
1430 E Calvada Blvd
Ste 200
Pahrump, NV 89048
Phone (775) 257-7015
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855
Interoperability endpoints
- fabdulla10381@direct.umcsn.com
- https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 6413 | NV | |
| Pediatrics Physician | 208000000X | 6413 | NV | Yes |
Addresses
Primary practice location
1430 E Calvada Blvd Ste 200
Pahrump, NV 89048-5852
Mailing address
PO Box 98978
Las Vegas, NV 89193-8978
Phone (702) 216-3346
Other practice location 1
5586 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-7682
Phone (702) 384-8099
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497732093 | Medicaid | NV | |
| 2002028 | Medicaid | NV | |
| 6413 | Other | NV | NV STATE LICENSE |
Other providers in Pahrump, NV
- A & S Transport
- A&B Dental Specialists, LLC
- ABA Stepping Stones
- Pearlene Abbott
- Abc Dental
- Malik S Abdullah
- Absolute Dental Pahrump LLC
- Access Building Solutions LLC
- Sarah Acosta
- Jennifer Adams
All providers in Pahrump, NV · Pediatrics Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.