Individual provider Active NPI

Parisah Moghaddampour

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1992361489
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
23735 Issued in NV
Practice address
2020 Wellness Way Ste 402
Las Vegas, NV 89106-2804
Phone
(702) 485-5000
Fax
(702) 485-5001
NPI assigned
May 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 23735 NV Primary

Addresses

Primary practice location

2020 Wellness Way Ste 402
Las Vegas, NV 89106-2804

Mailing address

2020 Wellness Way Ste 402
Las Vegas, NV 89106-4145
Phone (702) 485-5000

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
I20230725002996 NV Practitioner - Ophthalmology 4486015328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shepherd Eye Center LTDGroup PAC ID 9234125907, 42 clinicians

Practice addresses (Care Compare)

2020 Wellness Way
Suite 402
Las Vegas, NV 89106-4145
Phone (702) 896-6043

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
92.12
Improvement activities
40
Cost
68.61

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
82.33
Improvement activities
40
Cost
79.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery491
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23735NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
Shepherd Eye Center, LTD Ophthalmology Past Accepting new patients

Locations

2020 Wellness Way
Ste 401
Las Vegas, NV 89106
Phone (702) 380-1059

10105 Banburry Cross Dr
Ste 255
Las Vegas, NV 89144

8352 W Warm Springs Rd
Ste 130
Las Vegas, NV 89113

2020 Wellness Way
Ste 402
Las Vegas, NV 89106
Phone (702) 387-1757

501 Rose St
Ste 150
Las Vegas, NV 89106
Phone (702) 384-7770

3575 Pecos McLeod
Las Vegas, NV 89121
Phone (512) 314-1612

7305 S Pecos Rd
Ste 101
Las Vegas, NV 89120

6850 N Durango Dr
Ste 106
Las Vegas, NV 89149

Interoperability endpoints

  • Direct secure messaging: pmoghaddampour@cepnv-ne.emadirect.md

Organizations & group practices 3

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": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1992361489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 402",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 402",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062804",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHADDAMPOUR",
        "first_name": "PARISAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "23735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.