NPIMap

Organization Active NPI

Molok Rahnema MD Valley Endocrinology PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Las Vegas, NV
National Provider Identifier
1811245400
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
13479 Issued in NV
Legal business name
MOLOK RAHNEMA MD VALLEY ENDOCRINOLOGY PLLC
Practice address
653 N. Town Center Dr
Suite 504
Las Vegas, NV 89144-0514
Phone
(702) 701-8400
Fax
(702) 701-8401
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dr. Molouk Rahnema, MDNPI 1598968000
Title
Owner
Phone
(702) 701-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 13479 NV Primary

Addresses

Primary practice location

653 N. Town Center Dr
Suite 504
Las Vegas, NV 89144-0514

Mailing address

P.O. Box 34468
Las Vegas, NV 89133-4468
Phone (702) 701-8400

Other names 1

  • Valley Endocrinology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121220000098 NV Part B Supplier - Clinic/Group Practice 6002068038 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1811245400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 34468",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891334468",
            "telephone_number": "702-701-8400",
            "fax_number": "702-701-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N. TOWN CENTER DR",
            "address_2": "SUITE 504",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-701-8400",
            "fax_number": "702-701-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLOK RAHNEMA MD VALLEY ENDOCRINOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "RAHNEMA",
        "authorized_official_first_name": "MOLOUK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-701-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "13479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.