Individual provider Active NPI

Shereen Khalid, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1902478597
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24305 Issued in NV
Practice address
1240 N Martin Luther King Blvd
Las Vegas, NV 89106-2825
Phone
(702) 967-0530
Fax
(702) 967-0538
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24305 NV Primary
Family Medicine Physician 207Q00000X 28389 MS
Family Medicine Physician 207Q00000X 4301503506 MI

Addresses

Primary practice location

1240 N Martin Luther King Blvd
Las Vegas, NV 89106-2825

Mailing address

1240 North Martin Luther King Blvd.
Las Vegas, NV 89106
Phone (702) 967-0530

Other practice location 1

Medical Education Building
625 Shadow Lane
Las Vegas, NV 89106
Phone (702) 895-3011

Other identifiers 2

IdentifierTypeStateIssuer
1902478597MedicaidNV
24305OtherNVSTATE LICENSE

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
I20230929002588 NV Practitioner - Family Practice 0244633352 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28389MSMDFamily Medicine Physician
24305NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc CurrentSince Oct 2, 2023 Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine CurrentSince Oct 2, 2023 Accepting new patients
VMSN, Inc. Past Accepting new patients

Locations

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

1000 S Rainbow Blvd
Ste 240
Las Vegas, NV 89145
Phone (702) 259-0088

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: shereen.khalid@direct.mhg.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902478597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 NORTH MARTIN LUTHER KING BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-967-0530",
            "fax_number": "702-967-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N MARTIN LUTHER KING BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062825",
            "telephone_number": "702-967-0530",
            "fax_number": "702-967-0538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Education Building",
            "address_2": "625 Shadow Lane",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89106",
            "country_code": "US",
            "telephone_number": "702-895-3011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALID",
        "first_name": "SHEREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "24305",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "28389",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301503506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902478597",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "24305",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.