Active NPI
Pedro J Hani, MD
- Pulmonary Disease Physician
- Henderson, NV
National Provider Identifier
1497781330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 7694
- Practice address
- 4 Sunset Way
Suite a-3
Henderson, NV 89014-2015 - Phone
- (702) 434-9690
- Fax
- (702) 436-7266
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | J3114 | TX | |
| Pulmonary Disease Physician | 207RP1001X | 7694 | NV | Primary |
Addresses
Primary practice location
4 Sunset Way
Suite a-3
Henderson, NV 89014-2015
Mailing address
1701 W Charleston Blvd
Suite 210
Las Vegas, NV 89102-2325
Phone (702) 382-2919
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115395905 | Medicaid | TX | |
| 7694 | Other | NV | MEDICAL LICENSE |
| 115395906 | Medicaid | TX | |
| 115395904 | Medicaid | TX | |
| 8S3100 | Other | TX | BC/BS |
| P000185892 | Other | TX | RR MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1500 W Warm Springs Rd
Henderson, NV 89014-3586
Phone (702) 547-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J3114 | TX | MD | Pulmonary Disease Physician |
| 3114 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians and Allied Health Professionals Group, PA | Past | Accepting new patients | |
| Pulmonary Associates, Inc. | Pulmonary Disease | Past | Accepting new patients |
| Qureshi Al-Owir PLLC | Pulmonary Disease | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BCIBCA
- pparedeshani18696@direct.umcsn.com
Organizations & group practices 4
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.
-
- Pulmonary Disease Physician
- Las Vegas, NV
- NPI 1629397690
-
- Pulmonary Disease Physician
- Las Vegas, NV
- NPI 1952436115
-
- Critical Care Medicine (Internal Medicine) Physician
- Henderson, NV
- NPI 1952533887
Pulmonary Disease
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1497781330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W CHARLESTON BLVD",
"address_2": "SUITE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022325",
"telephone_number": "702-382-2919",
"fax_number": "702-474-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SUNSET WAY",
"address_2": "SUITE A-3",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142015",
"telephone_number": "702-434-9690",
"fax_number": "702-436-7266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANI",
"first_name": "PEDRO",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "J3114",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NV",
"license": "7694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115395905",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "7694",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115395906",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115395904",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "8S3100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P000185892",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.