Ahmed Jaradat MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15111 Issued in NV

Legal business name

AHMED JARADAT MD PLLC

Practice address

3022 S Durango Dr Ste 100
Las Vegas, NV 89117-4440

Phone

(702) 256-3637

NPI assigned

Sep 18, 2017

Organization subpart

No

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

Authorized official

Name

Lauren Dews

Title

Agent

Phone

(702) 355-1187

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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

• Ahmed Jaradat, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1780994426
  Medicare reassignment Care Compare group NPD
• Gloria Santiaguel Mandel, NP

  • Nurse Practitioner
  • Henderson, NV
  • NPI 1528566460
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1669991006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 S DURANGO DR STE 100",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174440",
            "telephone_number": "702-256-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 S DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174440",
            "telephone_number": "702-256-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED JARADAT MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "DEWS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "702-355-1187"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "15111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIN",
            "identifier": "82-24023801",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamoon Ahmad, M.D.
• Syed Saqib Ahmad, M.D.
• Tanvir Ahmad, MD
• Moni Ahmadian
• Philip Ahmadzai
• Aneeqa Ahmed, DO
• Birjees Ahmed
• Fatma Ibrahim Ahmed
• Fawad Ahmed
• Hayat Siraj Ahmed

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.