Individual provider Active NPI

Naiyera Parween, M.D.

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1669583175
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10660 Issued in NV
Practice address
10410 S Eastern Ave
Suite #100
Henderson, NV 89052-4195
Phone
(702) 914-7150
Fax
(702) 914-1924
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10660 NV Primary

Addresses

Primary practice location

10410 S Eastern Ave
Suite #100
Henderson, NV 89052-4195

Mailing address

861 Coronado Center Dr
Ste 211
Henderson, NV 89052-3992
Phone (702) 407-8241

Other identifiers 2

IdentifierTypeStateIssuer
100501886MedicaidNV
P00308041OtherRAILROAD CARRIER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505000619 NV Practitioner - Family Practice 9739177973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Medical Associates IncGroup PAC ID 6709988850, 3 clinicians

Practice addresses (Care Compare)

10410 S Eastern Ave
Suite 100
Henderson, NV 89052-4196
Phone (702) 914-7150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10660NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Medical Associates Inc Family Medicine CurrentSince Feb 1, 2007 Accepting new patients
Health Care Center of Southern Nevada Past Accepting new patients

Locations

10410 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 914-7150

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1669583175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 CORONADO CENTER DR",
            "address_2": "STE 211",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523992",
            "telephone_number": "702-407-8241",
            "fax_number": "702-492-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 S EASTERN AVE",
            "address_2": "SUITE #100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524195",
            "telephone_number": "702-914-7150",
            "fax_number": "702-914-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARWEEN",
        "first_name": "NAIYERA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501886",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARRIER",
            "identifier": "P00308041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.