Tabreez S Ali DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO1552 Issued in NV

Legal business name

TABREEZ S ALI DO PC

Practice address

102 E Lake Mead Pkwy
Henderson, NV 89015-5575

Phone

(702) 564-2522

NPI assigned

Jan 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Tabreez S Ali, D.O.NPI 1376799064

Title

President

Phone

(702) 858-7376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 3

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

• Tabreez Shiraaz Ali, D.O.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1376799064
  Medicare reassignment NPD Authorized official
• Niberonofer Pacual Dayco, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1598161234
  Medicare reassignment NPD
• Alberto Pangan Santos, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1457883316
  Medicare reassignment NPD

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1982908661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36830",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336830",
            "telephone_number": "702-858-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155575",
            "telephone_number": "702-564-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Brookridge Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890526620",
            "country_code": "US",
            "telephone_number": "702-858-7376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TABREEZ S ALI DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "TABREEZ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-858-7376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO1552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T. C. Fitzgerald Inc.
• T.I.P.I.P.S Behavioral Health, LLC
• Rodezza Sacayan Tabano, PA
• Angelina Garnett Tabor, RBT
• Shannon Tabor
• Shelley Taddesse
• Tara Grant Tafeaga, MA
• Savanahrose Tafoya
• Isaiah Lafi Tafua, QMHA
• Samantha Taggart

• Internal Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.