Organization Active NPI

Emerus Nevada Inpatient Providers PLLC

  • Emergency Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1720759541
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EMERUS NEVADA INPATIENT PROVIDERS PLLC
Practice address
1550 W Craig Rd Ste 100
North Las Vegas, NV 89032-0329
Phone
(702) 777-3615
NPI assigned
Sep 22, 2021
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Khawer KhadimallyNPI 1811200280
Title
Authorized Official
Phone
(713) 929-2076

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
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

1550 W Craig Rd Ste 100
North Las Vegas, NV 89032-0329

Mailing address

8686 New Trails Dr Ste 100
The Woodlands, TX 77381-1195
Phone (713) 637-1146

Other practice location 1

9880 W Flamingo Rd Ste 100
Las Vegas, NV 89147-8085
Phone (702) 216-7335

Other practice location 2

4855 Blue Diamond Rd Ste 100
Las Vegas, NV 89139-7602
Phone (702) 216-7305

Other practice location 3

8686 New Trails Dr Ste 100
The Woodlands, TX 77381-1195
Phone (713) 637-1146

Other practice location 4

4980 W Sahara Ave Ste 100
Las Vegas, NV 89146-3435
Phone (702) 216-7365

Other practice location 5

6675 N Durango Dr
Las Vegas, NV 89149-4430
Phone (725) 533-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220602002100 NV Part B Supplier - Clinic/Group Practice 1557749512 Receives reassigned benefits from 33 practitioners
Practice locations: Las Vegas, NV; North Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6675 N Durango Dr
Las Vegas, NV 89149
Phone (713) 929-2076

9880 W Flamingo Rd
Ste 100
Las Vegas, NV 89147
Phone (702) 216-7335

1550 W Craig Rd
Ste 100
North Las Vegas, NV 89032
Phone (702) 777-3615

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1720759541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8686 NEW TRAILS DR STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811195",
            "telephone_number": "713-637-1146",
            "fax_number": "281-298-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W CRAIG RD STE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320329",
            "telephone_number": "702-777-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9880 W Flamingo Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891478085",
            "country_code": "US",
            "telephone_number": "702-216-7335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4855 Blue Diamond Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891397602",
            "country_code": "US",
            "telephone_number": "702-216-7305",
            "fax_number": "702-634-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8686 New Trails Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773811195",
            "country_code": "US",
            "telephone_number": "713-637-1146",
            "fax_number": "281-298-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4980 W Sahara Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463435",
            "country_code": "US",
            "telephone_number": "702-216-7365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6675 N Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494430",
            "country_code": "US",
            "telephone_number": "725-533-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERUS NEVADA INPATIENT PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "KHADIMALLY",
        "authorized_official_first_name": "KHAWER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-929-2076"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.