Active NPI
James Jabile, MD
- Pediatrics Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 22190
- Practice address
- 1505 Wigwam Pkwy Ste 230
Henderson, NV 89074-8195 - Phone
- (702) 562-8900
- Fax
- (702) 407-0266
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 60267766 | NY | |
| Pediatrics Physician | 208000000X | 22190 | NV | Primary |
Addresses
Primary practice location
1505 Wigwam Pkwy Ste 230
Henderson, NV 89074-8195
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346
Other practice location 1
3278 Steinway St
Astoria, NY 11103-4032
Phone (718) 204-8448
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8399271 | Medicaid | WA | |
| 03300290 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60267766 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Pediatrics | Current | Accepting new patients |
| Unlv Medicine | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Elsa P Cruz MD PC | Pediatrics | Past | Accepting new patients |
Locations
1505 Wigwam Pkwy
Ste 230
Henderson, NV 89074
Phone (702) 562-8900
1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
1524 Pinto Ln
Fl 3
Las Vegas, NV 89106
Phone (702) 944-2828
2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jjabile11282@nychhc.direct-ci.com
- jamesjabile@mai.allscriptsdirect.net
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.
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
Pediatrics
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1407397235
-
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1184152274
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Pediatrics Physician
- Astoria, NY
- NPI 1811269863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1841234366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-216-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 WIGWAM PKWY STE 230",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890748195",
"telephone_number": "702-562-8900",
"fax_number": "702-407-0266"
}
],
"practiceLocations": [
{
"address_1": "3278 Steinway St",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111034032",
"country_code": "US",
"telephone_number": "718-204-8448",
"fax_number": "718-204-8025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JABILE",
"first_name": "JAMES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "60267766",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "22190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8399271",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03300290",
"state": "NY"
}
],
"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 Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.