NPIMap

Individual provider Active NPI

Ali Al Khayru, MBCHB

  • Interventional Cardiology Physician
  • Sparks, NV
National Provider Identifier
1780115923
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
27306 Issued in NV
Practice address
2385 E Prater Way Ste 302
Sparks, NV 89434-9638
Phone
(775) 356-4514
NPI assigned
Mar 21, 2017
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-47375 IA
Internal Medicine Physician 207R00000X ME150951 FL
Cardiovascular Disease Physician 207RC0000X 27306 NV
Interventional Cardiology Physician 207RI0011X 27306 NV Primary
Hospitalist Physician 208M00000X MD-47375 IA

Addresses

Primary practice location

2385 E Prater Way Ste 302
Sparks, NV 89434-9638

Mailing address

2385 E Prater Way Ste 302
Sparks, NV 89434-9638
Phone (775) 356-4514

Other practice location 1

6000 49th St N # Gme
St Petersburg, FL 33709-2145
Phone (727) 521-5093

Other names 1

  • Ali Alkhayru Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250624003971 NV Practitioner - Interventional Cardiology 7113298167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Nevada Medical Group LLCGroup PAC ID 7214093020, 83 clinicians

Practice addresses (Care Compare)

2385 E Prater Way
Suite 302
Sparks, NV 89434-9638
Phone (775) 356-4514

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150951FLMDInternal Medicine Physician
27306NVMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nevada Medical Group, LLC Internal Medicine CurrentSince Jul 14, 2025 Accepting new patients
Trihealth H LLC Cardiovascular Disease Past Accepting new patients

Locations

2385 E Prater Way
Ste 205
Sparks, NV 89434
Phone (775) 356-4888

2385 E Prater Way
Ste 302
Sparks, NV 89434
Phone (775) 356-4514

Interoperability endpoints

  • Direct secure messaging: ali.alkhayru@hca4.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1780115923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 E PRATER WAY STE 302",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349638",
            "telephone_number": "775-356-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 E PRATER WAY STE 302",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349638",
            "telephone_number": "775-356-4514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 49th St N # Gme",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337092145",
            "country_code": "US",
            "telephone_number": "727-521-5093",
            "fax_number": "727-521-5022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL KHAYRU",
        "first_name": "ALI",
        "credential": "MBCHB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-47375",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME150951",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "27306",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "27306",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "MD-47375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "ALKHAYRU",
            "credential": "MBCHB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.