Individual provider Active NPI

Shawn Allen Rowles, M.D.

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1730387176
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13611 Issued in NV
Practice address
7690 Carmen Blvd
Las Vegas, NV 89128-3639
Phone
(702) 255-7399
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 13611 NV Primary

Addresses

Primary practice location

7690 Carmen Blvd
Las Vegas, NV 89128-3639

Mailing address

6920 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000389 NV Practitioner - Pediatric Medicine 7810012556 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13611NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Jan 1, 2020 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jan 1, 2020 Accepting new patients
Caremeridian, LLC Past Accepting new patients
Jazmine Enterprises LLC PastSince Mar 21, 2024 Accepting new patients
Caremeridian, LLC Past Accepting new patients

Locations

1524 Pinto Ln
Fl 3
Las Vegas, NV 89106
Phone (702) 944-2828

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

Interoperability endpoints

  • Direct secure messaging: shawn.rowles@lvpt.directbygreenway.com
  • Direct secure messaging: srowles18715@direct.umcsn.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Covenant Hospice CareLas Vegas, NV, CCN 291543 Hospice Contracted Managing Employee (15%)
Corporate Director (25%)
Operational/Managerial Control (15%)
Mar 21, 2024
Mar 21, 2024
Mar 21, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1730387176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 S CIMARRON RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7690 CARMEN BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283639",
            "telephone_number": "702-255-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLES",
        "first_name": "SHAWN",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "13611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.