Individual provider Active NPI

Hesham Al Sirsy, MD

  • Pediatrics Physician
  • Henderson, NV
National Provider Identifier
1801025119
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7291 Issued in NV
Practice address
10950 S Eastern Ave
100
Henderson, NV 89052-4970
Phone
(702) 614-2192
Fax
(701) 614-2190
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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 7291 NV Primary

Addresses

Primary practice location

10950 S Eastern Ave
100
Henderson, NV 89052-4970

Mailing address

10950 S Eastern Ave
100
Henderson, NV 89052-4970
Phone (702) 614-2192

Other identifiers 1

IdentifierTypeStateIssuer
31-02371MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7291NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hesham Sirsy MD LTD Pediatrics PastSince Apr 27, 2018 Accepting new patients
Henderson Hospital Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1801025119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 S EASTERN AVE",
            "address_2": "100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524970",
            "telephone_number": "702-614-2192",
            "fax_number": "701-614-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 S EASTERN AVE",
            "address_2": "100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524970",
            "telephone_number": "702-614-2192",
            "fax_number": "701-614-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRSY",
        "first_name": "HESHAM",
        "middle_name": "AL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "7291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31-02371",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.