Shadi Abdelnour, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

14060 Issued in NV

Practice address

1707 W Charleston Blvd
200
Las Vegas, NV 89102-2351

Phone

(702) 671-6469

Fax

(702) 671-5090

NPI assigned

Jan 11, 2007

Last updated

Dec 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Specialty

EndocrinologyAlso: Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside-San Bernardino County Indian Health IncGroup PAC ID 4789867805, shared by 7 NPIs, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: shadi.abdelnour.p1@direct.warnermountainihp.nextgenshare.com

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.

• University of NV School of Medicine Multi Specialty Group Practice So

  dba MedSchool Associates South

  • Otolaryngology Physician
  • Las Vegas, NV
  • NPI 1437282050
  NPD (past)
• Unsom Multi-Spec GRP Pract S

  dba MedScool Associates South

  • Surgery Physician
  • Henderson, NV
  • NPI 1053739268

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1629128764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022312",
            "telephone_number": "775-682-8175",
            "fax_number": "775-327-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W CHARLESTON BLVD",
            "address_2": "200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022351",
            "telephone_number": "702-671-6469",
            "fax_number": "702-671-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELNOUR",
        "first_name": "SHADI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "14060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184601239",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalya Abdelmaged
• Rose Adel Abdelmalak
• Wilyam Abdelmalik, DMD
• Erene Yustina Abdelmeseeh, MD
• Rizalyne May Abdelnour, DMD
• Nurya Abderahman
• Surrey Abderrazik
• Maria Michelle Abdo, LCSW
• Emon Abdolsalehi, PH.D.
• Mary Abdou, DMD

• Endocrinology, Diabetes & Metabolism Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Endocrinology, Diabetes & Metabolism Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.

Verify at the official NPI Registry.