Kenneth Jayendra Shah, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

8591 Issued in NV

Practice address

2465 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-5952

Phone

(702) 616-0500

Fax

(702) 616-0505

NPI assigned

May 11, 2006

Last updated

Jul 26, 2022By the provider in NPPES

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 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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nevada Heart and Vascular Center Resh LLPGroup PAC ID 5395746283, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nevada Heart and Vascular Center Resh LLP

  dba Nevada Heart and Vascular Center

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1659387934
  Medicare reassignment Care Compare group NPD
• K. Shah M.D., LTD

  • Cardiovascular Disease Physician
  • Henderson, NV
  • NPI 1801820410
  Authorized official Same address or phone
• Vascular Institute of Southern

  dba Kenneth J. Shah, MD

  • Cardiovascular Disease Physician
  • Henderson, NV
  • NPI 1508813338
  Authorized official Same address or phone
• Advanced Molecular Pet Imaging LLC

  • Physiological Laboratory
  • Las Vegas, NV
  • NPI 1497360648
  NPD
• Nevada Heart and Vascular Center Resh LLP

  dba Nevada Heart and Vascular Center

  • Cardiac Rehabilitation Registered Nurse
  • Las Vegas, NV
  • NPI 1891482113

  Cardiovascular Disease

  NPD
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• Desert Springs Hospital

  dba Desert Springs Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Dignity Health

  dba St. Rose Dominican Hospital, Rose de Lima Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Dignity Health

  dba St. Rose Dominican Hospital, Siena Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  NPD (past)
• Sunrise Mountainview Hospital, Inc.

  dba Mountainview Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831143817
  NPD (past)

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

• Dignity Health

  dba St. Rose Dominican Hospital, Siena Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1992755946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E SILVERADO RANCH BLVD STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837518",
            "telephone_number": "702-240-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525952",
            "telephone_number": "702-616-0500",
            "fax_number": "702-616-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KENNETH",
        "middle_name": "JAYENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "8591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002434",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shadow Emergency Physicians PLLC
• Kathryn Shaffer
• Lisa Brooke Shaffer, PSYD
• Shah Healthcare PLLC (Usaid)
• Himansu R Shah, M.D.
• Lopa H. Shah, M.D.
• Meika Shah, MD
• Nirja Shah
• Darya Shahbazy
• Shahdad K Saeedi DPM PC (Las Vegas Foot Institute)

• Cardiovascular Disease Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Cardiovascular Disease Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.