Individual provider Active NPI

Tapan R Shah, MD

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1508820200
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9412 Issued in NV
Practice address
6450 Medical Center St
Suite 100
Las Vegas, NV 89148-2442
Phone
(702) 304-9494
Fax
(702) 304-9495
NPI assigned
Apr 12, 2006
Last updated
May 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9412 NV Primary

Addresses

Primary practice location

6450 Medical Center St
Suite 100
Las Vegas, NV 89148-2442

Mailing address

6450 Medical Center St
Suite 100
Las Vegas, NV 89148-2442
Phone (702) 304-9494

Other identifiers 1

IdentifierTypeStateIssuer
2018519MedicaidNV

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
I20110111000296 NV Practitioner - Ophthalmology 5496769598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of NevadaGroup PAC ID 6002894680, 8 clinicians

Practice addresses (Care Compare)

2110 E Flamingo Rd
Suite 210
Las Vegas, NV 89119-5193
Phone (702) 733-2020

Merit-based Incentive Payment System (MIPS)

Final score
90.84 of 100Reported as group
Quality
91.49
Promoting interoperability
100
Improvement activities
40
Cost
77.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9412NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Nevada Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
Jack E Abrams M D Professional Corporation CurrentSince Mar 1, 2013 Accepting new patients
Las Vegas Ophthalmology ASC LLC PastSince Jan 27, 2006 Accepting new patients
Box Canyon Surgery Center LLC Past Accepting new patients
Tapan R Shah, MD, LTD Ophthalmology PastSince Oct 1, 2002 Accepting new patients

Locations

4800 N 22nd St
Ste 200
Phoenix, AZ 85016

10424 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 733-2020

2451 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 263-2929

2110 E Flamingo Rd
Ste 210
Las Vegas, NV 89119
Phone (702) 733-2020

2555 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 316-4400

6450 Medical Center St
Ste 100
Las Vegas, NV 89148
Phone (702) 258-2020

6710 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 733-2020

1470 E Calvada Blvd
Ste 300
Pahrump, NV 89048
Phone (775) 727-1188

Interoperability endpoints

  • Direct secure messaging: tapan.shah.p28@direct.avp.nextgenshare.com
  • Direct secure messaging: tapan.shah@direct.avp.nextgenshare.com

Organizations & group practices 5

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1508820200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 MEDICAL CENTER ST",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482442",
            "telephone_number": "702-304-9494",
            "fax_number": "702-304-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 MEDICAL CENTER ST",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482442",
            "telephone_number": "702-304-9494",
            "fax_number": "702-304-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TAPAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "9412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018519",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.