Active NPI
Abdi Raissi, M.D.
- Orthopaedic Foot and Ankle Surgery Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 10339
- Practice address
- 2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609 - Phone
- (702) 731-1616
- Fax
- (702) 734-4900
- NPI assigned
- Jan 6, 2006
- Last updated
- Jun 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 10339 | NV | Primary |
Addresses
Primary practice location
2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609
Mailing address
2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609
Phone (702) 731-1616
Other practice location 1
8205 W Warm Springs Rd Ste 250
Las Vegas, NV 89113-3646
Phone (702) 227-2152
Other practice location 2
8402 Centennial Pkwy
Las Vegas, NV 89149-4792
Phone (702) 869-3486
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200045560 | Other | R.R. MEDICARE | |
| 7281120 | Other | AETNA | |
| CC6017 | Other | BXBS | |
| 2018729 | Medicaid | NV |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Washington University School of Medicine, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2800 E Desert Inn Rd
Las Vegas, NV 89121-3609
Phone (702) 731-1616
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10339 | NV | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Orthopaedic Center, LTD. | Orthopaedic Surgery | Current | Accepting new patients |
| Desert Orthopaedic Billing LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Ohio Foot & Ankle, Inc | Foot and Ankle Surgery | Past | Accepting new patients |
| Mountain View Hospital LLC | Past | Accepting new patients | |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients |
Locations
2930 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 263-9082
2800 E Desert Inn Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 294-7499
8205 W Warm Springs Rd
Ste 250
Las Vegas, NV 89113
Phone (702) 227-2152
8402 Centennial Pkwy
Las Vegas, NV 89149
Phone (702) 869-3486
8689 W Charleston Blvd
Ste 105
Las Vegas, NV 89117
Phone (702) 304-5900
Interoperability endpoints
- raiab@doclv.emadirect.md
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Las Vegas, NV
- NPI 1972825602
-
- Orthopaedic Surgery Physician
- Las Vegas, NV
- NPI 1548235302
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
dba Sunrise Hospital and Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1689611774
-
dba Mountainview Hospital
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831143817
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
dba Orthopedic Foot and Ankle Center
- Orthopaedic Foot and Ankle Surgery Physician
- Worthington, OH
- NPI 1659364503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1770561961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E DESERT INN RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213609",
"telephone_number": "702-731-1616",
"fax_number": "702-734-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E DESERT INN RD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213609",
"telephone_number": "702-731-1616",
"fax_number": "702-734-4900"
}
],
"practiceLocations": [
{
"address_1": "8205 W Warm Springs Rd Ste 250",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891133646",
"country_code": "US",
"telephone_number": "702-227-2152",
"fax_number": "702-252-0369",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8402 Centennial Pkwy",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891494792",
"country_code": "US",
"telephone_number": "702-869-3486",
"fax_number": "702-869-3542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAISSI",
"first_name": "ABDI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NV",
"license": "10339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE",
"identifier": "200045560",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7281120",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXBS",
"identifier": "CC6017",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2018729",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.