Organization Active NPI

Nilofar Kuraishi MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1912198490
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6576 Issued in NV
Legal business name
NILOFAR KURAISHI MD
Practice address
2870 S Maryland Pkwy Ste 110
Las Vegas, NV 89109-1548
Phone
(702) 733-0899
Fax
(702) 733-6380
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Dr. Nilofar Kuraishi, M.D.NPI 1255372280
Title
President
Phone
(702) 733-0899

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 6576 NV Primary

Addresses

Primary practice location

2870 S Maryland Pkwy Ste 110
Las Vegas, NV 89109-1548

Mailing address

2870 S Maryland Pkwy Ste 110
Las Vegas, NV 89109-1548
Phone (702) 733-0899

Other identifiers 1

IdentifierTypeStateIssuer
002019298MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701001467 NV Part B Supplier - Clinic/Group Practice 7517944085 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0944228Nilofar Kuraishi MD2870 S Maryland Pkwy Ste 110, Las Vegas, NV 89109Certificate of waiverApr 8, 2028

National Provider Directory

National Provider Directory

Locations

3121 S Maryland Pkwy
Ste 204
Las Vegas, NV 89109
Phone (702) 733-0899

3201 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 733-0899

1500 E Desert Inn Rd
Ste 4
Las Vegas, NV 89169
Phone (702) 405-6163

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1912198490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091548",
            "telephone_number": "702-733-0899",
            "fax_number": "702-733-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091548",
            "telephone_number": "702-733-0899",
            "fax_number": "702-733-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILOFAR KURAISHI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2023-03-24",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "KURAISHI",
        "authorized_official_first_name": "NILOFAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-733-0899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "6576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019298",
            "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 Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.