NPIMap

Individual provider Active NPI

Vipul Ashok Shah, M.D.

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1588872139
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
12988 Issued in NV
Practice address
1294 S Jones Blvd
Las Vegas, NV 89146
Phone
(702) 877-1887
Fax
(702) 877-4536
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 12988 NV Primary

Addresses

Primary practice location

1294 S Jones Blvd
Las Vegas, NV 89146

Mailing address

1294 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 877-1887

Other identifiers 1

IdentifierTypeStateIssuer
1588872139MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, HI2 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
I20090603000354 NV Practitioner - Nephrology 6204904543 Reassigns benefits to 1 organization
I20200423000657 HI Practitioner - Nephrology 6204904543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Toledo College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology and Endocrine Associates IncGroup PAC ID 2961499322, 64 clinicians

Practice addresses (Care Compare)

8775 Deer Springs Way
Las Vegas, NV 89149-0416
Phone (702) 877-1887

Hospital & facility affiliations

  • DaVita Siena Henderson Dialysis Center Dialysis facility, Henderson, NV, CCN 292524
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center Current Accepting new patients
Nephrology & Endocrine Associates Inc Nephrology CurrentSince Jul 1, 2012 Accepting new patients
Nephrology & Endocrine Associates Inc CurrentSince Jul 1, 2012 Accepting new patients
Hilo Benioff Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Dignity Health Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Rajeev Prasad MD PC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

100 N Green Valley Pkwy
Ste 310
Henderson, NV 89074
Phone (702) 565-6565

2510 Wigwam Pkwy
Ste 206
Henderson, NV 89074
Phone (702) 837-7857

1294 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 877-1877

9280 W Sunset Rd
Ste 438
Las Vegas, NV 89148

8775 Deer Springs Way
Las Vegas, NV 89149
Phone (702) 395-2488

500 S Rancho Dr
Ste 12
Las Vegas, NV 89106
Phone (702) 877-1877

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

2065 N Las Vegas Blvd
North Las Vegas, NV 89030
Phone (702) 639-0469

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: vipul.shah@direct.davitaphysiciansolutions.com
  • Direct secure messaging: vshah18726@direct.umcsn.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1588872139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIPUL",
        "middle_name": "ASHOK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "12988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588872139",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.