Individual provider Active NPI

Rabbi Zia, M.D.

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1891057519
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
15994 Issued in NV
Practice address
10105 Banburry Cross Dr Ste 370
Las Vegas, NV 89144-6649
Phone
(702) 260-4525
Fax
(702) 869-0133
NPI assigned
Jun 8, 2012
Last updated
Aug 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 15994 NV Primary

Addresses

Primary practice location

10105 Banburry Cross Dr Ste 370
Las Vegas, NV 89144-6649

Mailing address

10105 Banburry Cross Dr Ste 370
Las Vegas, NV 89144-6649
Phone (702) 260-4525

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
I20140516001326 NV Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5597988667

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15994NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Valley Medical Center Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Valley Pediatrics, LLP Pediatrics Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1891057519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 BANBURRY CROSS DR STE 370",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446649",
            "telephone_number": "702-260-4525",
            "fax_number": "702-869-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 BANBURRY CROSS DR STE 370",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446649",
            "telephone_number": "702-260-4525",
            "fax_number": "702-869-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIA",
        "first_name": "RABBI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "15994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.