NPIMap

Individual provider Active NPI

Allan Jeffrey Stahl

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1528017308
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6419 Issued in NV
Practice address
9950 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7700
Phone
(702) 805-5678
NPI assigned
May 9, 2006
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6419 NV Primary

Addresses

Primary practice location

9950 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7700

Mailing address

9950 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7700
Phone (702) 805-5678

Other practice location 1

2855 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4812
Phone (702) 805-5678

Other practice location 2

9950 W Cheyenne Ave Ste 150
Las Vegas, NV 89129-7700
Phone (702) 805-5678

Other practice location 3

6040 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5613
Phone (705) 805-5678

Other practice location 4

825 N Gibson Rd Ste 321
Henderson, NV 89011-1708
Phone (702) 805-5678

Other practice location 5

10105 Banburry Cross Dr Ste 130
Las Vegas, NV 89144-6642
Phone (702) 805-5678

Other identifiers 1

IdentifierTypeStateIssuer
002019495MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060505000215 NV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Diagnostic RadiologyPractitioner - Internal Medicine 7911917943 Reassigns benefits to 2 organizations
I20100824000983 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Diagnostic Radiology 7911917943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Cardiology GroupGroup PAC ID 5890123046, 15 clinicians

Practice addresses (Care Compare)

2911 N Tenaya Way
Suite 104
Las Vegas, NV 89128-0488
Phone (702) 805-5678

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.39 of 100Reported as group
Quality
55.26
Improvement activities
40
Cost
73.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20347AZMDProfessional Counselor
50159CAMDGeneral Practice Dentistry
6419NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
US Mobile Imaging CurrentSince Mar 31, 2026 Accepting new patients
Prime Cardiology Group PLLC Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients
Kan-Di-Ki LLC CurrentSince May 11, 2013 Accepting new patients
Kan-Di-Ki, LLC CurrentSince Aug 31, 2015 Accepting new patients
Mountain View Hospital, Inc. Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
American Diagnostics Services LLC Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Boulder City Hospital Inc Past Accepting new patients

Locations

7776 S Pointe Pkwy W
Ste 150
Phoenix, AZ 85044
Phone (602) 281-4225

2820 N Ontario St
Burbank, CA 91504
Phone (818) 480-9100

12612 Raymer St
North Hollywood, CA 91605
Phone (818) 549-1880

930 Ridgebrook Rd
Fl 3
Sparks Glencoe, MD 21152
Phone (443) 662-4101

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

2911 N Tenaya Way
Ste 104
Las Vegas, NV 89128
Phone (702) 474-2460

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

6040 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 475-4007

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

9950 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129

Organizations & group practices 10

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1528017308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 W CHEYENNE AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297700",
            "telephone_number": "702-805-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 W CHEYENNE AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297700",
            "telephone_number": "702-805-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 Saint Rose Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524812",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9950 W Cheyenne Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891297700",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6040 S Fort Apache Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485613",
            "country_code": "US",
            "telephone_number": "705-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 N Gibson Rd Ste 321",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890111708",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10105 Banburry Cross Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446642",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "ALLAN",
        "middle_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "6419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019495",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.