NPIMap

Organization Active NPI

Hesham Sirsy MD LTD

Doing business as ABC Pediatrics

  • Pediatrics Physician
  • Henderson, NV
National Provider Identifier
1982763108
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7291 Issued in NV
Legal business name
HESHAM SIRSY MD LTD
Doing business as
ABC Pediatrics
Practice address
10950 S Eastern Ave
#100
Henderson, NV 89052-4970
Phone
(702) 614-2192
Fax
(702) 614-2190
NPI assigned
Dec 6, 2006
Last updated
May 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Hesham Al Sirsy, MDNPI 1801025119
Title
Owner
Phone
(702) 614-2192

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
Pediatrics Physician 208000000X 7291 NV Primary

Addresses

Primary practice location

10950 S Eastern Ave
#100
Henderson, NV 89052-4970

Mailing address

10950 S Eastern Ave
#100
Henderson, NV 89052-4970
Phone (702) 614-2192

Other identifiers 2

IdentifierTypeStateIssuer
2019371MedicaidNV
3102371MedicaidNV

Other names 1

  • ABC Pediatrics Doing business as

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
29D0954134Abc Pediatrics10950 S Eastern Ave Ste 100, Henderson, NV 89052Certificate of waiverFeb 2, 2027

National Provider Directory

National Provider Directory

Locations

10950 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 614-2191

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1982763108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 S EASTERN AVE",
            "address_2": "#100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524970",
            "telephone_number": "702-614-2192",
            "fax_number": "702-614-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 S EASTERN AVE",
            "address_2": "#100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524970",
            "telephone_number": "702-614-2192",
            "fax_number": "702-614-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESHAM SIRSY MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "SIRSY",
        "authorized_official_first_name": "HESHAM",
        "authorized_official_middle_name": "AL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-614-2192",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "7291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019371",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102371",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.