Active NPI
Suha Zawawi
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1619669678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29576
- Practice address
- 6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181 - Phone
- (702) 853-3561
- NPI assigned
- May 25, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29576 | NV | Primary |
Addresses
Primary practice location
6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181
Mailing address
10624 S Eastern Ave # a-955
Henderson, NV 89052-2982
Phone (702) 407-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619669678 | Medicaid | NV |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230907003615 | NV | Order and Referring Only - Internal Medicine | 8729442843 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10624 S Eastern Ave
A 955
Henderson, NV 89052-2982
367 S Gulph Rd
King of Prussia, PA 19406-3121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1619669678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10624 S EASTERN AVE # A-955",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-407-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 S CIMARRON RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132181",
"telephone_number": "702-853-3561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAWAWI",
"first_name": "SUHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-25",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "29576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619669678",
"state": "NV"
}
],
"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 5, 2026; 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.