Individual provider Active NPI

Ediriel Hernandez-Salas, M.D.

  • Emergency Medicine Physician
  • Mesquite, NV
National Provider Identifier
1912389537
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17914 Issued in NV
Practice address
1299 Bertha Howe Ave
Mesquite, NV 89027
Phone
(702) 345-4303
NPI assigned
Jun 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17914 NV Primary

Addresses

Primary practice location

1299 Bertha Howe Ave
Mesquite, NV 89027

Mailing address

161 Calle Cesar Gonzalez Apt 157
San Juan, PR 00918-1511
Phone (787) 455-0846

Other practice location 1

Ave. 65 de Infanteria, Carr. 3, Km 8.3
Hospital de la UPR, Dr. Federico Trilla
Carolina, PR 00985
Phone (787) 455-0846

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
I20181127001775 NV Practitioner - Emergency Medicine 3870837172 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 5, 2018 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Hoover Emergency Physicians LLC Emergency Medicine CurrentSince Jan 12, 2020 Accepting new patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 5, 2018 Accepting new patients
Emcare Physician Providers Inc Emergency Medicine Past Accepting new patients

Locations

901 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-4111

2581 Saint Rose Pkwy
Henderson, NV 89074
Phone (702) 780-2700

9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

Organizations & group practices 6

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1912389537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 CALLE CESAR GONZALEZ APT 157",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181511",
            "telephone_number": "787-455-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 BERTHA HOWE AVE",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "89027",
            "telephone_number": "702-345-4303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave. 65 de Infanteria, Carr. 3, Km 8.3",
            "address_2": "Hospital de la UPR, Dr. Federico Trilla",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00985",
            "country_code": "US",
            "telephone_number": "787-455-0846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ-SALAS",
        "first_name": "EDIRIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "17914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

Verify at the official NPI Registry.