Shadi Nijim, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

16261 Issued in NV

Practice address

1294 S Jones Blvd
Las Vegas, NV 89146-4844

Phone

(702) 877-1877

Fax

(702) 877-4536

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, NV2 enrollments

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 2

Specialty

Nephrology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nephrology and Endocrine Associates IncGroup PAC ID 2961499322, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Summerlin Dialysis Center Dialysis facility, Las Vegas, NV, CCN 292515
• University Medical Center Hospital, Las Vegas, NV, CCN 290007
• Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
• Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
• Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
• West Henderson Hospital Hospital, Henderson, NV, CCN 290062

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gehsnijim@yourcarecommunity.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: shadi.nijim@direct.davitaphysiciansolutions.com
• Direct secure messaging: snijim18681@direct.umcsn.com

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.

• Nephrology & Endocrine Associates Inc

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1801886700
  Medicare reassignment Care Compare group NPD
• Nextcare Arizona LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1043371826
  Medicare reassignment NPD
• Nephrology & Endocrine Associates Inc

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1689175333
  NPD
• Summerlin Hospital Medical Center L L C

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  NPD (past)
• Sunrise Mountainview Hospital, Inc.

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831143817
  NPD (past)
• University Medical Center of Southern Nevada

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127
  NPD (past)
• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Nextcare Arizona I JV LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1114798071
  NPD (past)
• VHS of Arrowhead, Inc.

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1255640819
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Greater Las Vegas Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Las Vegas, NV
  • NPI 1669577037

  Dialysis facility

  Care Compare affiliation Name & address match
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1861234619

  Hospital

  Care Compare affiliation
• University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • North Las Vegas, NV
  • NPI 1104538966

  Hospital

  Care Compare affiliation
• University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1376105478

  Hospital

  Care Compare affiliation
• University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1467014571

  Hospital

  Care Compare affiliation
• University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • Henderson, NV
  • NPI 1538721642

  Hospital

  Care Compare affiliation
• University Medical Center of Southern Nevada

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127
  Care Compare affiliation
• University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1568024669

  Hospital

  Care Compare affiliation
• University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1649832759

  Hospital

  Care Compare affiliation
• University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1710549829

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1942363791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464844",
            "telephone_number": "702-877-1877",
            "fax_number": "702-877-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464844",
            "telephone_number": "702-877-1877",
            "fax_number": "702-877-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIJIM",
        "first_name": "SHADI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "16261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942363791",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Nigbur
• Angela Sue Nighswander, RN, ASN
• Nightingale Home Healthcare of Nevada, Inc
• Jackson Cryses Nightshade
• Nazokat Nigmatova, PHARMD
• Nik Mohamed Nik Mahmood, MSN, APRN, FNP-C
• Asina Nikele
• Jinu Niki, LMFT, LCADC
• Yuriy Sergeevich Nikiforov, M.D.
• Nikitacoy. Inc.

• Nephrology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nephrology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.
• 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.