Organization Active NPI

Sameera Sbaih MD Prof Corp

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1710110838
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11954 Issued in NV
Legal business name
SAMEERA SBAIH MD PROF CORP
Practice address
2649 Wigwam Pkwy
Suite #100
Henderson, NV 89074-7310
Phone
(702) 489-4500
Fax
(702) 489-4600
NPI assigned
Aug 24, 2009
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Dr. Sameera Sbaih, MDNPI 1639243538
Title
President
Phone
(702) 489-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11954 NV Primary

Addresses

Primary practice location

2649 Wigwam Pkwy
Suite #100
Henderson, NV 89074-7310

Mailing address

PO Box 531473
Henderson, NV 89053-1473
Phone (702) 489-4500

Other identifiers 1

IdentifierTypeStateIssuer
11954OtherNVNV MEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091013000543 NV Part B Supplier - Clinic/Group Practice 3779629381 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1710110838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531473",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890531473",
            "telephone_number": "702-489-4500",
            "fax_number": "702-489-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 WIGWAM PKWY",
            "address_2": "SUITE #100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747310",
            "telephone_number": "702-489-4500",
            "fax_number": "702-489-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMEERA SBAIH MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "SBAIH",
        "authorized_official_first_name": "SAMEERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-489-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MEDICAL LICENSE",
            "identifier": "11954",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.