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ABRAHAM T. FAKHOURI, M.D.
NPI 1730691890
Family Medicine in Henderson, NV

Active since October 30, 2017
861 CORONADO CENTER DR STE 220, HENDERSON, NV 89052(702) 933-1485(702) 933-1490 Get Directions Write a Review

NPPES record last updated: January 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Abraham T. Fakhouri, M.d. NPPES

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

ABRAHAM T. FAKHOURI, M.D. (NPI 1730691890) is a healthcare organization registered as a family medicine in Henderson, Nevada and active in the NPI registry since October 2017. The organization lists Abraham T. Fakhouri, Member, as its authorized official.

NPPES Registry Identity

NPI1730691890
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameABRAHAM T. FAKHOURI, M.D.
Location Address861 CORONADO CENTER DR STE 220Henderson, NV 89052-3992
Mailing Address861 Coronado Center Dr Ste 220Henderson, NV 89052-3992
Phone(702) 933-1485
Fax(702) 933-1490
Organization SubpartNo
Authorized OfficialAbraham T. FakhouriMember · (702) 933-1485
Enumeration DateOctober 30, 2017
Last NPPES UpdateJanuary 4, 2018
✔ NPI 1730691890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · 14038
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
861 CORONADO CENTER DR STE 220, Henderson, NV 89052
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Other Identifiers 1

OtherNV20171542901NV · Sos Business License

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)

Abraham T. Fakhouri, M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Abraham T. Fakhouri, M.D., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ibrahim Fakhouri, MD
Family Practice
NPI 1720248206
861 CORONADO CENTER DR STE 220
Henderson, NV 89052
(702) 933-1485
✔ PECOS✔ Accepts MedicareSame address
Nirav Gandhi, M.D.
Internal Medicine
NPI 1881791564
2610 W HORIZON RIDGE PKWY SUITE 105
Henderson, NV 89052
(702) 724-8777
✔ PECOS✔ Accepts Medicare0.6 mi

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 Abraham T. Fakhouri, M.D.'s NPI number?

The NPI number for Abraham T. Fakhouri, M.D. is 1730691890. It was assigned to this organization in the NPPES registry on October 30, 2017.

Where is Abraham T. Fakhouri, M.D. located?

Abraham T. Fakhouri, M.D. is located at 861 Coronado Center Dr Ste 220, Henderson, NV 89052. The listed phone number is (702) 933-1485.

What is Abraham T. Fakhouri, M.D.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Abraham T. Fakhouri, M.D. enrolled in Medicare?

Yes. Abraham T. Fakhouri, M.D. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Abraham T. Fakhouri, M.D.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Abraham T. Fakhouri, M.D., in Family Practice and Internal Medicine. 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, 1 practice at this address and 2 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 Abraham T. Fakhouri, M.D. was last updated on January 4, 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.