Organization Active NPI

Chamian Medical Group PLLC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1629356274
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12358 Issued in NV
Legal business name
CHAMIAN MEDICAL GROUP PLLC
Practice address
7325 S Pecos Rd
Suite 102
Las Vegas, NV 89120-3768
Phone
(702) 982-6402
Fax
(702) 202-0674
NPI assigned
Aug 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Authorized official

Name
Noel M Chamian, MDNPI 1376533059
Title
President
Phone
(702) 982-6402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 12358 NV Primary

Addresses

Primary practice location

7325 S Pecos Rd
Suite 102
Las Vegas, NV 89120-3768

Mailing address

7325 S Pecos Rd
Suite 102
Las Vegas, NV 89120-3768
Phone (702) 982-6402

Other identifiers 1

IdentifierTypeStateIssuer
1376533059MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111102000789 NV Part B Supplier - Clinic/Group Practice 0941473177 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2036686Chamian Medical Group PLLC7325 S Pecos Rd Ste 102, Las Vegas, NV 89120Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory

Locations

9005 S Pecos Rd
Ste 2610
Henderson, NV 89074
Phone (702) 458-5263

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1629356274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 S PECOS RD",
            "address_2": "SUITE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203768",
            "telephone_number": "702-982-6402",
            "fax_number": "702-202-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 S PECOS RD",
            "address_2": "SUITE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203768",
            "telephone_number": "702-982-6402",
            "fax_number": "702-202-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMIAN MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "CHAMIAN",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-982-6402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "12358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376533059",
            "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 Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.