Individual provider Active NPI

Michael S. Zimmerman, M.D.

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1871601302
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7539 Issued in NV
Practice address
2136 E Desert Inn Rd
Suite a
Las Vegas, NV 89109-0802
Phone
(702) 562-2420
Fax
(702) 562-3202
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7539 NV Primary

Addresses

Primary practice location

2136 E Desert Inn Rd
Suite a
Las Vegas, NV 89109-0802

Mailing address

2700 Crimson Canyon Dr
Ste 180
Las Vegas, NV 89128-0802
Phone (702) 562-2420

Other identifiers 2

IdentifierTypeStateIssuer
002019790MedicaidNV
CH1004OtherNVRAILROAD MEDICARE

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
I20110215000449 NV Practitioner - Gastroenterology 8224128525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osama Haikal MD LTDGroup PAC ID 0840279915, 10 clinicians

Practice addresses (Care Compare)

2136 E Desert Inn Rd
Suite a
Las Vegas, NV 89169-3247
Phone (702) 734-0505

Hospital & facility affiliations

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Merit-based Incentive Payment System (MIPS)

Final score
21.95 of 100Reported as group
Quality
0
Improvement activities
0
Cost
73.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy454
Upper gastrointestinal (GI) endoscopy for acid reflux307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7539NVMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Center-Green Valley Gastroenterology Current Accepting new patients
Osama Haikal MD LTD Specialist CurrentSince Jan 1, 1989 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Digestive Disease Center Past Accepting new patients
Dignity Health Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

2700 Crimson Canyon Dr
#180
Las Vegas, NV 89128
Phone (702) 562-2420

2136 E Desert Inn Rd
#A
Las Vegas, NV 89169
Phone (702) 734-0505

2136 E Desert Inn Rd
Ste A
Las Vegas, NV 89169
Phone (702) 734-0505

1647 E Windmill Ln
Ste 100
Las Vegas, NV 89123
Phone (702) 914-6555

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

2700 Crimson Canyon Dr
Ste 180
Las Vegas, NV 89128
Phone (702) 562-2420

Organizations & group practices 7

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 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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1871601302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CRIMSON CANYON DR",
            "address_2": "STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280802",
            "telephone_number": "702-562-2420",
            "fax_number": "702-562-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 E DESERT INN RD",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891090802",
            "telephone_number": "702-562-2420",
            "fax_number": "702-562-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "7539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019790",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH1004",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.