Active NPI
Jack Ebrahimpour Abrams, M.D.
- Specialist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9777
- Practice address
- 6450 Medical Center St
Suite 100
Las Vegas, NV 89148-2442 - Phone
- (702) 304-9494
- Fax
- (702) 304-9495
- NPI assigned
- Jul 22, 2005
- Reactivated
- Apr 6, 2006
- Last updated
- May 24, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9777 | NV | Primary |
| Ophthalmology Physician | 207W00000X | 9777 | NV |
Addresses
Primary practice location
6450 Medical Center St
Suite 100
Las Vegas, NV 89148-2442
Mailing address
4800 N 22ND St Ste 210
Phoenix, AZ 85016-4963
Phone (702) 304-9494
Other practice location 1
40 Capri Blvd
Lake Havasu City, AZ 86403-5661
Phone (928) 855-9477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002018382 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2110 E Flamingo Rd
Suite 210
Las Vegas, NV 89119-5193
Phone (702) 733-2020
40 Capri Blvd
Suite 102
Lake Havasu City, AZ 86403-5661
Phone (928) 855-9477
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.86 of 100
- Quality
- 81.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 64.4
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.84 of 100
- Quality
- 91.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.97
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 174 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9777 | NV | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnet Dulaney Perkins Eye Center, PC | Current | Accepting new patients | |
| Barnet Dulaney Perkins Eye Center, PC | Ophthalmology | Current | Accepting new patients |
| Eye Associates of Nevada | Ophthalmology | Current | Accepting new patients |
| Barnet Dulaney Perkins Eye Center, PC | Ophthalmology | Current | Accepting new patients |
| Box Canyon Surgery Center LLC | Past | Accepting new patients | |
| Barnet Dulaney Perkins Eye Center, PC | Ophthalmology | Past | Accepting new patients |
| Retinal Consultants of Arizona LTD | Ophthalmology | Past | Accepting new patients |
| Tapan R Shah, MD, LTD | Ophthalmology | Past | Accepting new patients |
Locations
40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020
1114 S Higley Rd
Mesa, AZ 85206
Phone (480) 264-2295
4800 N 22nd St
Ste 120
Phoenix, AZ 85016
4800 N 22nd St
Ste 200
Phoenix, AZ 85016
4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488
825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930
10424 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 733-2020
2110 E Flamingo Rd
Ste 210
Las Vegas, NV 89119
Phone (702) 733-2020
2555 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 316-4400
Interoperability endpoints
- jack.abrams.p11@direct.avp.nextgenshare.com
- jack.abrams.p28@direct.avp.nextgenshare.com
- jack.abrams@direct.avp.nextgenshare.com
Organizations & group practices 9
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.
-
dba Wellish Vision Institute
- Ophthalmology Physician
- Las Vegas, NV
- NPI 1801843685
-
dba American Vision Partners
- Ophthalmology Physician
- Phoenix, AZ
- NPI 1376574707
-
dba Abrams Eye Institute
- Ophthalmologic Surgery Clinic/Center
- Las Vegas, NV
- NPI 1881611887
-
dba American Vision Partners
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1043910078
-
dba American Vision Partners
- Ophthalmology Physician
- Tucson, AZ
- NPI 1851317861
-
- Ambulatory Surgical Clinic/Center
- Las Vegas, NV
- NPI 1306093604
-
dba American Vision Partners
- Ophthalmology Physician
- Flagstaff, AZ
- NPI 1689619272
-
- Ophthalmology Physician
- Phoenix, AZ
- NPI 1700823051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1780684571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N 22ND ST STE 210",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164963",
"telephone_number": "702-304-9494",
"fax_number": "702-304-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 MEDICAL CENTER ST",
"address_2": "SUITE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891482442",
"telephone_number": "702-304-9494",
"fax_number": "702-304-9495"
}
],
"practiceLocations": [
{
"address_1": "40 Capri Blvd",
"address_purpose": "LOCATION",
"city": "Lake Havasu City",
"state": "AZ",
"postal_code": "864035661",
"country_code": "US",
"telephone_number": "928-855-9477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAMS",
"first_name": "JACK",
"middle_name": "EBRAHIMPOUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "9777",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NV",
"license": "9777",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002018382",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.