Individual provider Active NPI

Samer Shuaib, MD

  • Interventional Cardiology Physician
  • Las Vegas, NV
National Provider Identifier
1720294440
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
20500 Issued in NV
Practice address
8465 W Sahara Ave # 111-606
Las Vegas, NV 89117-8960
Phone
(702) 476-1516
Fax
(646) 572-8760
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 20500 NV Primary
Interventional Cardiology Physician 207RI0011X 036.154601 IL

Addresses

Primary practice location

8465 W Sahara Ave # 111-606
Las Vegas, NV 89117-8960

Mailing address

8465 W Sahara Ave # 111-606
Las Vegas, NV 89117-8960
Phone (702) 476-1516

Other practice location 1

747 N Rutledge St Fl 4
Springfield, IL 62702-6700
Phone (217) 545-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MO, CO, OR, GU, AR6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20110311000819 WI Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Critical Care (Intensivists) 3971785965 Reassigns benefits to 1 organization
I20140226001317 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 3971785965 Reassigns benefits to 2 organizations
I20191205002510 CO Practitioner - Interventional Cardiology 3971785965 Reassigns benefits to 1 organization
I20201202001410 OR Practitioner - Cardiovascular Disease (Cardiology) 3971785965
I20221229002392 GU Practitioner - Interventional Cardiology 3971785965 Reassigns benefits to 1 organization
I20240322003189 AR Practitioner - Interventional Cardiology 3971785965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Regional Health SystemGroup PAC ID 9133026776, 132 clinicians

Practice addresses (Care Compare)

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8045

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Regional Health System Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 15, 2023 Accepting new patients
Lake Regional Medical Management, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 15, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Mar 1, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Mar 1, 2024 Accepting new patients
Lake Regional Health System CurrentSince Feb 1, 2025 Accepting new patients
Montrose Memorial Hospital, Inc Cardiovascular Disease CurrentSince Oct 1, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Mar 1, 2024 Accepting new patients
Comanche County Healthcare Corporation Current Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Oct 1, 2023 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Jan 6, 2022 Accepting new patients
Lake Regional Health System CurrentSince Feb 1, 2025 Accepting new patients
Ascension Via Christi Hospital Pittsburg, Inc. Cardiovascular Disease PastSince May 20, 2013 Accepting new patients

Locations

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

7001 Rogers Ave
Ste 401A
Fort Smith, AR 72903
Phone (479) 314-4650

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

711 N Taylor St
Ste 200
Gunnison, CO 81230
Phone (970) 240-1020

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

5017 S 110th St
Milwaukee, WI 53228
Phone (414) 427-8282

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

205 Valley Ave
West Bend, WI 53095
Phone (262) 338-1123

Interoperability endpoints

  • Direct secure messaging: samer.shuaib.1@20807.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1720294440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 W SAHARA AVE # 111-606",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178960",
            "telephone_number": "702-476-1516",
            "fax_number": "646-572-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 W SAHARA AVE # 111-606",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178960",
            "telephone_number": "702-476-1516",
            "fax_number": "646-572-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 N Rutledge St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627026700",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUAIB",
        "first_name": "SAMER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "20500",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036.154601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.