Individual provider Active NPI

Sassan Kaveh, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1851385447
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8320 Issued in NV
Practice address
3150 North Tenaya Way
Suite 400
Las Vegas, NV 89128-0461
Phone
(702) 233-6661
Fax
(702) 233-3055
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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 8320 NV Primary

Addresses

Primary practice location

3150 North Tenaya Way
Suite 400
Las Vegas, NV 89128-0461

Mailing address

3150 North Tenaya Way
Suite 400
Las Vegas, NV 89128-0461
Phone (702) 233-6661

Other identifiers 1

IdentifierTypeStateIssuer
1851385447MedicaidNV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000143 NV Practitioner - Internal Medicine 9133134604 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
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3150 N Tenaya Way
Suite 400
Las Vegas, NV 89128-0463
Phone (702) 233-6661

Hospital & facility affiliations

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal180
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8320NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Frontline Medical Group LLC Internal Medicine CurrentSince May 12, 2015 Accepting new patients
Quimson Development LLC CurrentSince Apr 1, 2026 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients

Locations

3150 N Tenaya Way
Ste 400
Las Vegas, NV 89128
Phone (702) 233-6661

Interoperability endpoints

  • Direct secure messaging: sassan.kaveh@amgc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHCBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHCBCA/Endpoint/HHCBCA

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1851385447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 NORTH TENAYA WAY",
            "address_2": "SUITE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280461",
            "telephone_number": "702-233-6661",
            "fax_number": "702-233-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 NORTH TENAYA WAY",
            "address_2": "SUITE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280461",
            "telephone_number": "702-233-6661",
            "fax_number": "702-233-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVEH",
        "first_name": "SASSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851385447",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.