NPIMap

Individual provider Active NPI

Mir Ali Mohammad, M.D.

  • Infectious Disease Physician
  • Henderson, NV
National Provider Identifier
1861728198
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
13506 Issued in NV
Practice address
825 N Gibson Rd Ste 311
Henderson, NV 89011-1708
Phone
(702) 776-8300
Fax
(702) 776-8408
NPI assigned
Oct 21, 2009
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 13506 NV Primary
Infectious Disease Physician 207RI0200X 25MA08395100 NJ

Addresses

Primary practice location

825 N Gibson Rd Ste 311
Henderson, NV 89011-1708

Mailing address

825 N Gibson Rd
Ste 311
Henderson, NV 89011-1708
Phone (702) 776-8300

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
I20110331000183 NV Practitioner - Infectious Disease 8224211024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Diseases of Southern Nevada a Professional LLCGroup PAC ID 7012065576, 13 clinicians

Practice addresses (Care Compare)

825 N Gibson Rd
Suite 311
Henderson, NV 89011-1708
Phone (702) 776-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08395100NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases of Southern Nevada a Professional LLC Infectious Disease CurrentSince Jan 15, 2011 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

10001 S Eastern Ave
Ste 307
Henderson, NV 89052
Phone (702) 501-3601

825 N Gibson Rd
Ste 311
Henderson, NV 89011
Phone (702) 776-8300

5437 Kietzke Ln
Reno, NV 89511
Phone (775) 784-3319

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1861728198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N GIBSON RD",
            "address_2": "STE 311",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111708",
            "telephone_number": "702-776-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N GIBSON RD STE 311",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111708",
            "telephone_number": "702-776-8300",
            "fax_number": "702-776-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMAD",
        "first_name": "MIR",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-21",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "13506",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA08395100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.