Individual provider Active NPI

Nyla Salina Abbey, PA

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1609384734
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1926 Issued in NV
Practice address
10105 Banburry Cross Dr Ste 105
Las Vegas, NV 89144-6646
Phone
(702) 854-3220
NPI assigned
Jan 10, 2018
Last updated
Jan 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1926 NV Primary

Addresses

Primary practice location

10105 Banburry Cross Dr Ste 105
Las Vegas, NV 89144-6646

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other names 1

  • Nyla Salina Khwaja Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180116002877 NV Practitioner - Physician Assistant 7517226749 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Ellis Bandt Birkin Kollins and Wong PLLCGroup PAC ID 4486568946, 68 clinicians
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians
Shelin Agrawal and Hyer PLLCGroup PAC ID 5890955959, 65 clinicians

Practice addresses (Care Compare)

2811 W Horizon Ridge Pkwy
Henderson, NV 89052-4394
Phone (702) 759-8600

2953 Kedleston St
Las Vegas, NV 89135-2232
Phone (904) 399-5550

3025 S Rainbow Blvd
Las Vegas, NV 89146-6582
Phone (702) 759-8600

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (866) 722-1655

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (866) 722-1655

3920 S Eastern Ave
Suite 100
Las Vegas, NV 89119-5171
Phone (702) 759-8600

45 Hassayampa TRL
Henderson, NV 89052-6668
Phone (866) 722-1655

6675 S Cimarron Rd
Las Vegas, NV 89113-2132
Phone (702) 759-8600

6690 Interstellar St
Las Vegas, NV 89135-9103
Phone (702) 255-5000

7130 Smoke Ranch Rd
Las Vegas, NV 89128-3157
Phone (866) 722-1655

7200 Cathedral Rock Dr
Suite 230
Las Vegas, NV 89128-0440
Phone (702) 759-8600

8116 Sweetwater Creek Way
Las Vegas, NV 89113-4685
Phone (702) 759-8600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1926NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc CurrentSince Jan 15, 2018 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 1, 2019 Accepting new patients

Locations

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

10105 Banburry Cross Dr
Ste 105
Las Vegas, NV 89144
Phone (702) 854-3220

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

Organizations & group practices 5

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 10

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1609384734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 BANBURRY CROSS DR STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446646",
            "telephone_number": "702-854-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBEY",
        "first_name": "NYLA",
        "middle_name": "SALINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NYLA",
            "last_name": "KHWAJA",
            "middle_name": "SALINA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.