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ROSHAN PLLC
NPI 1629206404
Internal Medicine in Henderson, NV

Active since June 30, 2009
3001 SAINT ROSE PKWY, HENDERSON, NV 89052(702) 487-7055(702) 991-7258 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Oct 17, 2017 (2 updates tracked since 2017).

About Roshan Pllc NPPES

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

ROSHAN PLLC (NPI 1629206404) is a healthcare organization registered as an internal medicine in Henderson, Nevada and active in the NPI registry since June 2009. The organization maintains a secondary practice location in Las Vegas and lists Shameyel Roshan, President, as its authorized official.

NPPES Registry Identity

NPI1629206404
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameROSHAN PLLC
Location Address3001 SAINT ROSE PKWYHenderson, NV 89052-3839
Mailing AddressPo Box 36830Las Vegas, NV 89133-6830 · (702) 427-2166
Phone(702) 487-7055
Fax(702) 991-7258
Organization SubpartNo
Authorized OfficialShameyel RoshanPresident · (702) 427-2166
Enumeration DateJune 30, 2009
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1629206404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · DO1460
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.
3001 SAINT ROSE PKWY, Henderson, NV 89052
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Secondary Practice Location 1

Location 12614 Regency Cove CtLas Vegas, NV 89121-3969 · Phone (702) 427-2166

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roshan Pllc 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 Roshan PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shameyel Roshan, DO
Internal Medicine
NPI 1053583922
3001 SAINT ROSE PKWY
Henderson, NV 89052
(702) 487-7055
✔ PECOSSame 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 Roshan PLLC's NPI number?

The NPI number for Roshan PLLC is 1629206404. It was assigned to this organization in the NPPES registry on June 30, 2009.

Where is Roshan PLLC located?

Roshan PLLC is located at 3001 Saint Rose Pkwy, Henderson, NV 89052. The listed phone number is (702) 487-7055.

What is Roshan PLLC's specialty?

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

Is Roshan PLLC enrolled in Medicare?

Yes. Roshan PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roshan PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Roshan PLLC. 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.

When was this NPI record last updated?

The NPPES record for Roshan PLLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.