NPIMap

Individual provider Active NPI

Shazia Hamid, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1811955214
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11267 Issued in NV
Practice address
4205 S Grand Canyon Dr Ste 20
Las Vegas, NV 89147-7152
Phone
(702) 293-6700
Fax
(702) 293-6711
NPI assigned
May 3, 2006
Last updated
Nov 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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 11267 NV Primary

Addresses

Primary practice location

4205 S Grand Canyon Dr Ste 20
Las Vegas, NV 89147-7152

Mailing address

700 E Warm Springs Rd
#100
Las Vegas, NV 89119-4305
Phone (702) 216-3350

Other identifiers 1

IdentifierTypeStateIssuer
10050404MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050211000662 NV Practitioner - Internal Medicine 3173575735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4205 S Grand Canyon Dr
Las Vegas, NV 89147-7152
Phone (702) 293-6700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shazia Hamid MD Internal Medicine CurrentSince Aug 31, 2015 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Ka Services Inc PastSince Mar 15, 2010 Accepting new patients
Mehrdad a Tafreshi, MD,LTD Internal Medicine Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Inpatient Physicians Network of Nevada Internal Medicine Past Accepting new patients

Locations

4205 S Grand Canyon Dr
Las Vegas, NV 89147

4205 S Grand Canyon Dr
Ste 20
Las Vegas, NV 89147
Phone (702) 228-9870

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1811955214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E WARM SPRINGS RD",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194305",
            "telephone_number": "702-216-3350",
            "fax_number": "702-216-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 S GRAND CANYON DR STE 20",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477152",
            "telephone_number": "702-293-6700",
            "fax_number": "702-293-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMID",
        "first_name": "SHAZIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10050404",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.