Individual provider Active NPI

Adel R Shehata, M.D.

  • Interventional Cardiology Physician
  • Las Vegas, NV
National Provider Identifier
1528027729
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
8985 Issued in NV
Practice address
4275 Burnham Ave
Suite 220
Las Vegas, NV 89119-5488
Phone
(702) 734-0808
Fax
(702) 734-2650
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 8985 NV Primary

Addresses

Primary practice location

4275 Burnham Ave
Suite 220
Las Vegas, NV 89119-5488

Mailing address

4275 Burnham Ave
Suite 220
Las Vegas, NV 89119-5488
Phone (702) 734-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210712003792 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 8729077383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

Hospital & facility affiliations

  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jul 1, 2021 Accepting new patients
Kingman Healthcare, Inc Cardiovascular Disease Current Accepting new patients

Locations

1099 E Sunrise Ave
Kingman, AZ 86401
Phone (702) 838-8558

1739 E Beverly Ave
Ste 214
Kingman, AZ 86409
Phone (928) 681-8734

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1739 E Beverly Ave
Kingman, AZ 86409
Phone (602) 406-5483

Interoperability endpoints

  • Direct secure messaging: shehata.adel@direct.azkrmc.md
  • Direct secure messaging: shehata.adel@st.direct.azkrmc.md

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1528027729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE",
            "address_2": "SUITE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195488",
            "telephone_number": "702-734-0808",
            "fax_number": "702-734-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE",
            "address_2": "SUITE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195488",
            "telephone_number": "702-734-0808",
            "fax_number": "702-734-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHATA",
        "first_name": "ADEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "8985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.