NPIMap

Individual provider Active NPI

Bijan Ahrari, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
National Provider Identifier
1679726467
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
15127 Issued in NV
Practice address
9280 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4860
Phone
(702) 696-7256
Fax
(702) 796-7256
NPI assigned
Oct 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.096676 OH
Internal Medicine Physician 207R00000X 48666 TN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 48666 TN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 15127 NV Primary

Addresses

Primary practice location

9280 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4860

Mailing address

9280 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4860
Phone (702) 696-7256

Other identifiers 1

IdentifierTypeStateIssuer
3138376MedicaidOH

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
I20140822000965 NV Practitioner - Endocrinology 0941487250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Medical Group LLCGroup PAC ID 6204926298, 12 clinicians

Practice addresses (Care Compare)

9280 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4412
Phone (702) 696-7256

Merit-based Incentive Payment System (MIPS)

Final score
85.38 of 100Reported as group
Quality
79.19
Improvement activities
40
Cost
74.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15127NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Medical Group LLC Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Chest Pain Observation, PLLC Past Accepting new patients
Dignity Health Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Palm Medical Group, Nakhle MD, PLLC Endocrinology, Diabetes & Metabolism Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

3150 N Tenaya Way
Ste 415
Las Vegas, NV 89128
Phone (702) 240-0800

9280 W Sunset Rd
Ste 306
Las Vegas, NV 89148

Organizations & group practices 9

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": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1679726467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD",
            "address_2": "SUITE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484860",
            "telephone_number": "702-696-7256",
            "fax_number": "702-796-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD",
            "address_2": "SUITE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484860",
            "telephone_number": "702-696-7256",
            "fax_number": "702-796-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHRARI",
        "first_name": "BIJAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.096676",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "48666",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TN",
            "license": "48666",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "15127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3138376",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.