Active NPI
Abdussalam Mohamed Alburki, M.D.
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1922077569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LL1538
- Practice address
- 1800 W Charleston Blvd
Las Vegas, NV 89102-2329 - Phone
- (702) 671-2345
- Fax
- (702) 671-2376
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL1538 | NV | Primary |
| Hospitalist Physician | 208M00000X | 12479 | NV |
Addresses
Primary practice location
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Mailing address
1701 W Charleston Blvd
215
Las Vegas, NV 89102-2325
Phone (702) 671-2355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL1538 | NV | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1922077569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W CHARLESTON BLVD",
"address_2": "215",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022325",
"telephone_number": "702-671-2355",
"fax_number": "702-382-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022329",
"telephone_number": "702-671-2345",
"fax_number": "702-671-2376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBURKI",
"first_name": "ABDUSSALAM",
"middle_name": "MOHAMED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "LL1538",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NV",
"license": "12479",
"primary": false
}
],
"identifiers": [],
"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 Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.