Individual provider Active NPI

Hamid Tamim Haider, MD

  • Internal Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1811011331
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12521 Issued in NV
Practice address
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone
(702) 858-3204
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12521 NV Primary

Addresses

Primary practice location

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Mailing address

PO Box 530966
Henderson, NV 89053-0966
Phone (702) 858-3204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080114000004 NV Practitioner - Internal Medicine 8325129653 Reassigns benefits to 3 organizations
I20111207000765 CO Practitioner - Internal Medicine 8325129653 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Pham MD PC Internal Medicine CurrentSince Nov 10, 2013 Accepting new patients
Southwest Medical Associates, Inc Internal Medicine CurrentSince Feb 11, 2013 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Apr 7, 2019 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 8, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 8, 2022 Accepting new patients
Rabessler MD PC Internal Medicine Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1400 E Boulder St
Ste 2508
Colorado Springs, CO 80909
Phone (719) 365-1292

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

3022 S Durango Dr
Ste 100
Las Vegas, NV 89117
Phone (702) 210-9423

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

Organizations & group practices 6

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1811011331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530966",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890530966",
            "telephone_number": "702-858-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-858-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "HAMID",
        "middle_name": "TAMIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "12521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.