Organization Active NPI

Radar Medical Group LLP

Doing business as University Urgent Care

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1881888956
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RADAR MEDICAL GROUP LLP
Doing business as
University Urgent Care
Practice address
2628 W Charleston Blvd
Las Vegas, NV 89102-2176
Phone
(702) 644-0500
Fax
(702) 641-4600
NPI assigned
Aug 31, 2007
Last updated
Nov 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Mrs. Dipti R. Shah, M.D.NPI 1023188125
Title
Medical Director/Doctor
Phone
(702) 644-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Nephrology Physician 207RN0300X NU
Neurology Physician 2084N0400X NU

Addresses

Primary practice location

2628 W Charleston Blvd
Las Vegas, NV 89102-2176

Mailing address

10624 S Eastern Ave Ste a-425
Henderson, NV 89052-2982
Phone (702) 644-0500

Other names 1

  • University Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080107000826 NV Part B Supplier - Clinic/Group Practice 5597845248 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

10624 S Eastern Ave
#A425
Henderson, NV 89052

10624 S Eastern Ave
Ste A4
Henderson, NV 89052

10624 S Eastern Ave
Ste A425
Henderson, NV 89052

1389 Galleria Dr
Ste 210
Henderson, NV 89014
Phone (702) 644-0500

2628 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 644-0500

2810 W Charleston Blvd
Ste E47
Las Vegas, NV 89102
Phone (702) 644-0500

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1881888956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE A-425",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-644-0500",
            "fax_number": "702-641-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022176",
            "telephone_number": "702-644-0500",
            "fax_number": "702-641-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADAR MEDICAL GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DIPTI",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/DOCTOR",
        "authorized_official_telephone_number": "702-644-0500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.