NPIMap

Individual provider Active NPI

Shahabuddin Khan, MD

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1639134828
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11499 Issued in NV
Practice address
3150 N Tenaya Way
Ste. 320
Las Vegas, NV 89128-0443
Phone
(702) 240-6482
Fax
(702) 804-0957
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11499 NV Primary

Addresses

Primary practice location

3150 N Tenaya Way
Ste. 320
Las Vegas, NV 89128-0443

Mailing address

700 E Silverado Ranch Blvd
Suite 170
Las Vegas, NV 89183-7516
Phone (702) 240-6482

Other identifiers 1

IdentifierTypeStateIssuer
100507025MedicaidNV

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
I20060315000041 NV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6103833298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nevada Heart and Vascular Center Resh LLPGroup PAC ID 5395746283, shared by 2 NPIs, 41 clinicians

Practice addresses (Care Compare)

401 N Buffalo Dr
Suite 100
Las Vegas, NV 89145-0397
Phone (702) 240-6482

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11499NVMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Heart and Vascular Center Resh LLP Cardiovascular Disease CurrentSince Feb 1, 2007 Accepting new patients
Nevada Heart and Vascular Center Resh LLP Cardiovascular Disease CurrentSince Feb 1, 2007 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

56 N Pecos Rd
Ste B
Henderson, NV 89074
Phone (702) 724-8777

5795 Arville St
Ste 200
Las Vegas, NV 89118

6525 N Buffalo Dr
Ste 130
Las Vegas, NV 89131
Phone (702) 313-7878

2724 N Tenaya Way
#100
Las Vegas, NV 89128

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

3150 N Tenaya Way
Ste 135
Las Vegas, NV 89128
Phone (702) 360-6100

401 N Buffalo Dr
Ste 100
Las Vegas, NV 89145
Phone (702) 489-9000

3150 N Tenaya Way
Ste 320
Las Vegas, NV 89128
Phone (702) 962-2100

700 E Silverado Ranch Blvd
Ste 170
Las Vegas, NV 89183

500 E Windmill Ln
Ste 140
Las Vegas, NV 89123

1440 E Calvada Blvd
Ste 700
Pahrump, NV 89048
Phone (702) 933-6400

Interoperability endpoints

  • Direct secure messaging: shahabuddin.khan.1@29724.direct.athenahealth.com
  • Direct secure messaging: skhan10420@direct.umcsn.com

Organizations & group practices 4

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1639134828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E SILVERADO RANCH BLVD",
            "address_2": "SUITE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837516",
            "telephone_number": "702-240-6482",
            "fax_number": "702-804-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "STE. 320",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-240-6482",
            "fax_number": "702-804-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAHABUDDIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "11499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507025",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.