NPIMap

Individual provider Active NPI

Molouk Fariba Rahnema, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
National Provider Identifier
1598968000
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
13479 Issued in NV
Practice address
653 N Town Center Dr
Suite 504
Las Vegas, NV 89144-0514
Phone
(702) 701-8400
Fax
(702) 701-8401
NPI assigned
Jun 11, 2007
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A88710 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X N1424 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 13479 NV Primary

Addresses

Primary practice location

653 N Town Center Dr
Suite 504
Las Vegas, NV 89144-0514

Mailing address

653 N Town Center Dr
Suite 504
Las Vegas, NV 89144-0514
Phone (702) 701-8400

Other identifiers 1

IdentifierTypeStateIssuer
13479OtherNVSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000538 NV Practitioner - EndocrinologyPractitioner - Internal Medicine 8426077710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

653 N Town Ctr Dr
Suite 504
Las Vegas, NV 89144-0519
Phone (702) 701-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
29.8 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
72.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88710CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Medical Group LLC Endocrinology, Diabetes & Metabolism Past Accepting new patients
University of Texas Medical Branch, Austin Initiatives at Utmb Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Palm Medical Group, Nakhle MD, PLLC Endocrinology, Diabetes & Metabolism Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mfrahnema@mrm-nv.direct.office.nextgen.com

Organizations & group practices 7

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 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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1598968000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE 504",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-701-8400",
            "fax_number": "702-701-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE 504",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-701-8400",
            "fax_number": "702-701-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHNEMA",
        "first_name": "MOLOUK",
        "middle_name": "FARIBA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A88710",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "N1424",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "13479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13479",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.