Individual provider Active NPI

Amir Bacchus, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1619925476
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7888 Issued in NV
Practice address
700 E Warm Springs Rd
302
Las Vegas, NV 89119-4305
Phone
(702) 932-8582
Fax
(702) 932-8587
NPI assigned
May 4, 2006
Last updated
Nov 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7888 NV Primary

Addresses

Primary practice location

700 E Warm Springs Rd
302
Las Vegas, NV 89119-4305

Mailing address

700 E Warm Springs Rd
#302
Las Vegas, NV 89119-4305
Phone (702) 216-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7888NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
P3 Health Partners Professional Services PC Internal Medicine PastSince Aug 30, 2018 Accepting new patients
Healthcare Partners Medical Group (Coats), LTD. PastSince Jul 1, 2009 Accepting new patients
Ipn of Arizona, PLC Internal Medicine PastSince Apr 30, 2003 Accepting new patients
P3 Health Partners-Oregon LLC Internal Medicine PastSince Jul 26, 2019 Accepting new patients
Inpatient Physicians Network of Nevada Internal Medicine Past Accepting new patients
Summit Medical Group (Abdou & Bacchus) PC PastSince Dec 1, 2005 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1619925476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E WARM SPRINGS RD",
            "address_2": "#302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194305",
            "telephone_number": "702-216-3350",
            "fax_number": "702-216-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E WARM SPRINGS RD",
            "address_2": "302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194305",
            "telephone_number": "702-932-8582",
            "fax_number": "702-932-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCHUS",
        "first_name": "AMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "7888",
            "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 Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.