NPIMap

Individual provider Active NPI

Seema Anjum, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1629065842
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8795 Issued in NV
Practice address
3599 S Eastern Ave
Las Vegas, NV 89169-3344
Phone
(702) 733-9230
Fax
(702) 733-9243
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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 8795 NV Primary

Addresses

Primary practice location

3599 S Eastern Ave
Las Vegas, NV 89169-3344

Mailing address

3599 S Eastern Ave
Las Vegas, NV 89169-3344
Phone (702) 733-9230

Other identifiers 2

IdentifierTypeStateIssuer
002018080MedicaidNV
CC2979OtherNVBLUE CROSS BLUE SHIELD

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
I20031212000353 NV Practitioner - Internal Medicine 8820994486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3599 S Eastern Ave
Las Vegas, NV 89169-3344

Hospital & facility affiliations

  • Crest Point Home Health Care Home health agency, Las Vegas, NV, CCN 297327
  • Cardinal Home Health Care Inc Home health agency, Henderson, NV, CCN 297336
  • Accessible Healthcare, LLC Home health agency, Las Vegas, NV, CCN 297199
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seema Anjum MD LTD Internal Medicine CurrentSince Feb 1, 2004 Accepting new patients
Ion Alexie, Inc Past Accepting new patients
James R Dettling MD Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

4275 Burnham Ave
Ste 230
Las Vegas, NV 89119
Phone (702) 448-5578

4275 Burnham Ave
Ste 200
Las Vegas, NV 89119
Phone (702) 733-9230

3599 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 522-0701

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1629065842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693344",
            "telephone_number": "702-733-9230",
            "fax_number": "702-733-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693344",
            "telephone_number": "702-733-9230",
            "fax_number": "702-733-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANJUM",
        "first_name": "SEEMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018080",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CC2979",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.