Active NPI
Adel R Shehata, M.D.
- Interventional Cardiology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 8985
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101
Hospital & facility affiliations
- Kingman Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.85 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingman Healthcare, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Kingman Healthcare, Inc | Current | 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
- shehata.adel@direct.azkrmc.md
- 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.
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
Cardiovascular Disease
-
- Community/Retail Pharmacy
- Kingman, AZ
- NPI 1992286298
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.