Active NPI
Shereen Khalid, MD
- Family Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24305
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902478597 | Medicaid | NV | |
| 24305 | Other | NV | STATE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28389 | MS | MD | Family Medicine Physician |
| 24305 | NV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Family Medicine | Current | 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
- 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.
-
dba Intermountain Health
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
Family Medicine
-
dba Intermountain Health Home Care
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
dba Volunteers in Medicine of Southern Nevada
- Health Educator
- Las Vegas, NV
- NPI 1629361001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.