| Prime Medical Group | |
|
9807 Highridge Dr Las Vegas NV 89134-6728 | |
| (702) 666-0450 | |
| (702) 666-8633 |
| Full Name | Prime Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 9807 Highridge Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Priti Narula (PRESIDENT) |
| Authorized Official Contact | 7022176949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Medical Group 9807 Highridge Dr Las Vegas NV 89134-6728 Ph: (702) 666-0450 | Prime Medical Group 9807 Highridge Dr Las Vegas NV 89134-6728 Ph: (702) 666-0450 |
| NPI Number | 1720165038 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 02/26/2026 |
| Certification Date | 02/26/2026 |
| Medicare PECOS PAC ID | 8729184197 |
|---|---|
| Medicare Enrollment ID | O20070501000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720165038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Angela Naomi Lybbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801907621 PECOS PAC ID: 6608863907 Enrollment ID: I20040428001185 |
| Provider Name | Priti V Narula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831292713 PECOS PAC ID: 0143227835 Enrollment ID: I20061020000451 |
| Provider Name | Francis William Pepe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891856290 PECOS PAC ID: 6103817820 Enrollment ID: I20070117000254 |
| Provider Name | Edward V Schelert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033294079 PECOS PAC ID: 7113029919 Enrollment ID: I20070226000345 |
| Provider Name | Tami L Prior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598131211 PECOS PAC ID: 0547570715 Enrollment ID: I20151208002325 |
| Provider Name | Jan Michael Vincent Galang Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023570090 PECOS PAC ID: 5991038440 Enrollment ID: I20190614002008 |
| Provider Name | Aaron Mora Lunario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679349062 PECOS PAC ID: 5991148868 Enrollment ID: I20240207002644 |
| Provider Name | Michelle Thiengtham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699450429 PECOS PAC ID: 4284073339 Enrollment ID: I20240422002767 |
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