NPIMap

Individual provider Active NPI

Mark J Adaimy, M.D.

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1659467769
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
10589 Issued in NV
Practice address
2820 W Charleston Blvd Ste 33
Las Vegas, NV 89102-1934
Phone
(702) 880-1558
Fax
(702) 870-6821
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 10589 NV Primary

Addresses

Primary practice location

2820 W Charleston Blvd Ste 33
Las Vegas, NV 89102-1934

Mailing address

2820 W Charleston Blvd Ste 33
Las Vegas, NV 89102-1934
Phone (702) 880-1558

Other practice location 1

2200 W Horizon Ridge Pkwy
Suite F
Henderson, NV 89052-2638
Phone (702) 258-9183

Other identifiers 1

IdentifierTypeStateIssuer
100511653MedicaidNV

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
I20040706000657 NV Practitioner - NephrologyPractitioner - Internal Medicine 1850378092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qazi Makhija and Barney LLPGroup PAC ID 5092717702, 12 clinicians

Practice addresses (Care Compare)

2820 W Charleston Blvd
Suite 33
Las Vegas, NV 89102-1934
Phone (702) 880-1558

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Qazi Makhija & Barney LLP Nephrology CurrentSince Mar 1, 2007 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Maity Medical Associates Inc Nephrology Past Accepting new patients
Dignity Health Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Suresh K Makhija MD Prof Corp Nephrology Past Accepting new patients

Locations

2820 W Charleston Blvd
Ste 33
Las Vegas, NV 89102
Phone (702) 388-4428

2820 W Charleston Blvd
Ste B33
Las Vegas, NV 89102

2820 W Charleston Blvd
Ste D33
Las Vegas, NV 89102

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

4424 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 338-6837

1409 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 649-7711

Interoperability endpoints

  • Direct secure messaging: mark.adaimy@direct.davitaphysiciansolutions.com

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.

Hospital & facility affiliations 8

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1659467769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD STE 33",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021934",
            "telephone_number": "702-880-1558",
            "fax_number": "702-870-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD STE 33",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021934",
            "telephone_number": "702-880-1558",
            "fax_number": "702-870-6821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 W Horizon Ridge Pkwy",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890522638",
            "country_code": "US",
            "telephone_number": "702-258-9183",
            "fax_number": "702-939-5242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAIMY",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "10589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511653",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.