1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MELANIE HELEN DE SHADAREVIAN DO
NPI 1336728096
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since April 07, 2021PECOS Enrolled
620 SHADOW LN, LAS VEGAS, NV 89106(702) 388-8437 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2025, Apr 7, 2021 (2 updates tracked since 2021).

About Melanie Helen De Shadarevian Do NPPES

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

MELANIE HELEN DE SHADAREVIAN DO (NPI 1336728096) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336728096
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMELANIE HELEN DE SHADAREVIANCredential: DO
Location Address620 SHADOW LNLas Vegas, NV 89106-4194
Mailing Address620 Shadow LnLas Vegas, NV 89106-4194 · (702) 388-8437
Phone(702) 388-8437
Sole ProprietorNo
Enumeration DateApril 7, 2021
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1336728096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
620 SHADOW LN, Las Vegas, NV 89106
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanie Helen De Shadarevian Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

JANN STACEY PICKENS NP
Nurse Practitioner
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4506
DR. VICTOR HOANG D.O.
Orthopaedic Surgery
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-8436
DR. KAY E MCMILLAN DO
Emergency Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4500
DR. FELIX ALEXIE DO
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
ALEX HIRSCHFELD GOLDBACH MD
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 477-6572
NASIBO KADIR MD PLLC
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
DR. JOHN YOUNG KO DO
Internal Medicine (Gastroenterology)
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-8436
DR. NICHOLAS CIURCZAK DO
Student in an Organized Health Care Education/Training Program
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000

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 Melanie De Shadarevian's NPI number?

The NPI number for Melanie De Shadarevian is 1336728096. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Melanie De Shadarevian located?

Melanie De Shadarevian practices at 620 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 388-8437.

What is Melanie De Shadarevian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Melanie De Shadarevian enrolled in Medicare?

Yes. Melanie De Shadarevian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melanie De Shadarevian was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.