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FARRUKH IMTIAZ MD A PROFESSIONAL CORPORATION
NPI 1548008956
Internal Medicine in Las Vegas, NV

Active since July 18, 2024
3650 S EASTERN AVE STE 210, LAS VEGAS, NV 89169(702) 933-6767(702) 933-6770 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2024, Jul 18, 2024 (2 updates tracked since 2024).

About Farrukh Imtiaz Md A Professional Corporation NPPES

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

FARRUKH IMTIAZ MD A PROFESSIONAL CORPORATION (NPI 1548008956) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since July 2024. The organization lists Farrukh Imtiaz, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1548008956
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFARRUKH IMTIAZ MD A PROFESSIONAL CORPORATION
Location Address3650 S EASTERN AVE STE 210Las Vegas, NV 89169-3345
Mailing Address3650 S Eastern Ave Ste 210Las Vegas, NV 89169-3345 · (702) 933-6767 · Fax (702) 933-6770
Phone(702) 933-6767
Fax(702) 933-6770
Organization SubpartNo
Authorized OfficialFarrukh ImtiazOwner Of Entity · (702) 933-6767
Enumeration DateJuly 18, 2024
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1548008956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3650 S EASTERN AVE STE 210, Las Vegas, NV 89169
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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, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Farrukh Imtiaz Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Farrukh Imtiaz MD A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Farrukh Imtiaz, MD
Internal Medicine
NPI 1063404663
3650 S EASTERN AVE STE 210
Las Vegas, NV 89169
(702) 933-6768
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Farrukh Imtiaz MD A Professional Corporation's NPI number?

The NPI number for Farrukh Imtiaz MD A Professional Corporation is 1548008956. It was assigned to this organization in the NPPES registry on July 18, 2024.

Where is Farrukh Imtiaz MD A Professional Corporation located?

Farrukh Imtiaz MD A Professional Corporation is located at 3650 S Eastern Ave Ste 210, Las Vegas, NV 89169. The listed phone number is (702) 933-6767.

What is Farrukh Imtiaz MD A Professional Corporation's specialty?

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

Is Farrukh Imtiaz MD A Professional Corporation enrolled in Medicare?

Yes. Farrukh Imtiaz MD A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Farrukh Imtiaz MD A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Farrukh Imtiaz MD A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Farrukh Imtiaz MD A Professional Corporation accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Farrukh Imtiaz MD A Professional Corporation 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 Farrukh Imtiaz MD A Professional Corporation was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.