1. Home
  2. Directory
  3. Nevada
  4. Henderson
  5. Internal Medicine
  6. NPI Profile

INTERMOUNTAIN HEALTH
NPI 1245997279
Internal Medicine in Henderson, NV

Active since November 24, 2021CLIA Certified · 36 labs
595 W LAKE MEAD PKWY, HENDERSON, NV 89015(702) 566-5500 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Nov 5, 2024, May 4, 2022, Nov 30, 2021 and 1 more (4 updates tracked since 2021).

About Intermountain Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERMOUNTAIN HEALTH (NPI 1245997279) is a healthcare organization registered as an internal medicine in Henderson, Nevada and active in the NPI registry since November 2021. The organization holds 36 active CLIA laboratory certificates and lists Mitch Cloward, Nevada Region President, as its authorized official.

NPPES Registry Identity

NPI1245997279
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
Location Address595 W LAKE MEAD PKWYHenderson, NV 89015-7015
Mailing Address6355 S Buffalo DrLas Vegas, NV 89113-2133 · (702) 580-1323
Phone(702) 566-5500
Organization SubpartNo
Authorized OfficialMitch ClowardNevada Region President · (702) 216-3346
Enumeration DateNovember 24, 2021
Last NPPES UpdateNovember 5, 20244 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1245997279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedHospitalistTaxonomy 208M00000X
595 W LAKE MEAD PKWY, Henderson, NV 89015
Open in Google Maps ↗

Other Names 1

Doing Business AsIntermountain Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 36

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D1101124

Intermountain Health - West Lake Mead - Senior Primary Care · Henderson, NV
Active · expires Jun 18, 2027
CLIA Number29D1101124
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorFrederick J. Tanenggee
Laboratory Phone(702) 565-1007
Laboratory LocationIntermountain Health - West Lake Mead - Senior Primary Care595 W Lake Mead Pkwy, Henderson, NV 89015
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2084798

Intermountain Health - Sun City Clinic · Las Vegas, NV
Active · expires Sep 29, 2028
CLIA Number29D2084798
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2026
Certificate Expiration DateSeptember 29, 2028
Laboratory DirectorAnjali A Rege
Laboratory Phone(702) 940-1580
Laboratory LocationIntermountain Health - Sun City Clinic9454 Del Webb Blvd, Las Vegas, NV 89134
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D1059469

Intermountain Health-Badura Clinic - Senior Primary Care · Las Vegas, NV
Active · expires Sep 28, 2028
CLIA Number29D1059469
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2026
Certificate Expiration DateSeptember 28, 2028
Laboratory DirectorShirley Najjar
Laboratory Phone(702) 588-6972
Laboratory LocationIntermountain Health-Badura Clinic - Senior Primary Care8350 W Badura Avenue, 2nd Floor Ste C, Las Vegas, NV 89113
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2084717

Intermountain Health - Boulder Crossing Clinic · Las Vegas, NV
Active · expires Sep 28, 2028
CLIA Number29D2084717
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2026
Certificate Expiration DateSeptember 28, 2028
Laboratory DirectorAndrei Androssov
Laboratory Phone(702) 940-1560
Laboratory LocationIntermountain Health - Boulder Crossing Clinic5230 Boulder Hwy Ste 110, Las Vegas, NV 89122
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D0892038

Intermountain Health - W Charleston Clinic - Primary Care · Las Vegas, NV
Active · expires Sep 21, 2028
CLIA Number29D0892038
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2026
Certificate Expiration DateSeptember 21, 2028
Laboratory DirectorRakesh J Kalra
Laboratory Phone(702) 228-5477
Laboratory LocationIntermountain Health - W Charleston Clinic - Primary Care9499 W Charleston Blvd Ste 150, Las Vegas, NV 89117
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2190617

Intermountain Health-Elkhorn Clinic-Pediatrics · Las Vegas, NV
Active · expires Aug 16, 2028
CLIA Number29D2190617
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorEugene E. Schnitzler
Laboratory Phone(702) 870-2099
Laboratory LocationIntermountain Health-Elkhorn Clinic-Pediatrics7175 N Durango Dr Ste 150, Las Vegas, NV 89149
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WINFRED DARRYL WILLIAMS M.D.
Family Medicine
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Clark County (702) 565-1007
ANDINWOH OROCK PA-C
Physician Assistant
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Clark County (702) 566-5500
JOSEPH PAUL HARDY MD
Family Medicine
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Clark County (702) 566-5500
CARLOS AARON KELSEY PA-C
Physician Assistant
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Clark County (702) 566-5500
HEALTHCARE PARTNERS MEDICAL GROUP (COATS), LTD.
Family Medicine
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Clark County (702) 566-5500
DR. FREDERICK JONES TANENGGEE M.D.
Internal Medicine
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Clark County (702) 565-1007
LAUREL A KLEINMAN APN
Nurse Practitioner (Family)
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Clark County (702) 566-5500
EDWARD CLARK MD
Family Medicine
595 W LAKE MEAD PKWY
HENDERSON, NV 89015
Clark County (702) 565-1007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intermountain Medical Holdings Nevada Inc's NPI number?

The NPI number for Intermountain Medical Holdings Nevada Inc is 1245997279. It was assigned to this organization in the NPPES registry on November 24, 2021. The provider is doing business as Intermountain Health.

Where is Intermountain Medical Holdings Nevada Inc located?

Intermountain Medical Holdings Nevada Inc is located at 595 W Lake Mead Pkwy, Henderson, NV 89015. The listed phone number is (702) 566-5500.

What is Intermountain Medical Holdings Nevada Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Intermountain Medical Holdings Nevada Inc hold CLIA laboratory certificates?

Yes. 36 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Intermountain Medical Holdings Nevada Inc accept?

Health plans from Ambetter from Arizona Complete Health list Intermountain Medical Holdings Nevada Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Holdings Nevada Inc was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.