Fredric A Siegel, MD
Individual provider Active NPI Cardiovascular Disease Physician · Las Vegas, NV
NPI 1801048814 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1801048814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 3127 (NV)
- Practice address
- 9260 W Sunset Rd Ste 100
Las Vegas, NV 89148-4903 - Phone
- (702) 534-5464
- Fax
- (702) 534-5465
- NPI assigned
- Oct 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Intermountain Medical Holdings Nevada Inc
Practice addresses (Care Compare)
9260 W Sunset Rd
Suite 100
Las Vegas, NV 89148-4903
Phone (702) 534-5466
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090618000191 | NV | Practitioner - Cardiovascular Disease (Cardiology) |
0941350698 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Medical Group Coats LTD | Cardiovascular Disease | Current | Accepting new patients |
| Intermountain Medical Holdings Nevada Inc | Current |
Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Cardiovascular Disease | Current |
Accepting new patients |
| Southwest Cardiovascular Associates Ahmed Alfafara and Prasad LTD | Past | Accepting new patients | |
| Bonito Inpatient Services LLC | Past |
Accepting new patients |
Locations
595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
9260 W Sunset Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 534-5464
9280 W Sunset Rd
Ste 320
Las Vegas, NV 89148
Phone (702) 534-5464
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- fredricsiegel@hcpnv.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/GBBICD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 3127 | NV | Yes |
Addresses
Primary practice location
9260 W Sunset Rd Ste 100
Las Vegas, NV 89148-4903
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3436
Other practice location 1
9280 W Sunset Rd
320
Las Vegas, NV 89148-4860
Phone (702) 534-5464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100500484 GROUP | Medicaid | NV | |
| 1801048814 | Medicaid | NV |
Other providers in Las Vegas, NV
- Evelyn Sidiaren
- Samantha Sidun
- Montana James Sie
- Skylar Lynn Siecker
- Suzan Sied
- Lee Siegel
- Sieglor, LLC
- William Cyril Siegrist
- Jessica Siekierski
- Dale Ann Sielczak
All providers in Las Vegas, NV · Cardiovascular Disease Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.