SHAHAB MOKHTARE INC
NPI 1639576820
Family Medicine in Las Vegas, NV
About Shahab Mokhtare Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAHAB MOKHTARE INC (NPI 1639576820) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since December 2014. The organization lists Shahab Mokhtare, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shahab Mokhtare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Shahab Mokhtare Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Shahab Mokhtare Inc's NPI number?
The NPI number for Shahab Mokhtare Inc is 1639576820. It was assigned to this organization in the NPPES registry on December 3, 2014.
Where is Shahab Mokhtare Inc located?
Shahab Mokhtare Inc is located at 330 S Rampart Blvd Ste 350, Las Vegas, NV 89145. The listed phone number is (702) 420-7704.
What is Shahab Mokhtare Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shahab Mokhtare Inc enrolled in Medicare?
Yes. Shahab Mokhtare Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shahab Mokhtare Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Shahab Mokhtare Inc, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shahab Mokhtare Inc was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Shahab Mokhtare Inc · NPI 1639576820
Family Medicine organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since December 3, 2014.
## Identity
- **NPI:** 1639576820 (Entity type: Organization)
- **Enumerated:** December 3, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shahab Mokhtare, OWNER
## Practice location
- **Address:** 330 S RAMPART BLVD STE 350, Las Vegas, NV 89145-5754
- **Phone:** (702) 420-7704
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639576820) · Data from the CMS NPPES public registry.