Las Vegas endocrinology · Diabetes, thyroid, bone and hormone care
Prepare for Palm Medical Group Care Without Delaying Your Endocrinology Referral
Palm Medical Group is a Las Vegas endocrinology practice serving patients with diabetes, thyroid disease, osteoporosis, parathyroid disorders, pituitary conditions, adrenal problems, abnormal cholesterol and other hormone-related concerns.
This guide explains the complete patient process: choosing the correct office, completing the referral, preparing records, using the portal, requesting medication refills, understanding insurance responsibilities and knowing what to expect from diabetes or thyroid care.
ENDOCRINE CARE MONITOR
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LABS → PLAN → FOLLOW-UP
Confirm the exact organization before logging in. This article covers Palm Medical Group, the endocrinology practice at palmmedicalgroup.com with two Las Vegas offices. It is different from Palm Medical Centers in Florida and Palms Medical Group in North Florida.
Do not wait for an endocrinology portal message during an emergency. Call 911 for severe trouble breathing, loss of consciousness, signs of stroke, chest pain, severe confusion, a seizure, or a suspected life-threatening glucose emergency.
Specialty
Endocrinology, diabetes and metabolism.
Las Vegas offices
Southwest and Northwest locations.
Office hours
Monday-Friday, 8 a.m.-4 p.m.
Cancellation rule
Give 24 hours notice to avoid a possible $50 fee.
Start here
Which Palm Medical Group pathway fits your situation?
NEW ENDOCRINOLOGY REFERRAL
Your primary doctor is sending you
Ask the referring office to send the referral, recent visit notes, relevant laboratory results, imaging reports and medication history before your appointment is finalized.
Best for: abnormal thyroid tests, difficult diabetes control, osteoporosis, adrenal findings, pituitary concerns and other hormone disorders.
ESTABLISHED PATIENT
You need follow-up, a refill or results
Use the patient portal for routine documented requests or ask your pharmacy to contact the office for prescription renewal.
Best for: routine communication, medication requests, appointment questions and non-urgent follow-up.
URGENT OR EMERGENCY
Your symptoms cannot safely wait
Contact the office for urgent clinical direction during business hours. Use emergency care when symptoms may threaten life or permanent function.
Call 911 for severe symptoms. The portal should not be treated as real-time emergency communication.
Most efficient order: verify insurance requirements, complete the referral, transfer the relevant records, confirm the selected Las Vegas office, then prepare a concise medication and symptom history.
Name check
Palm Medical Group is a Las Vegas endocrinology practice
Palm Medical Group
Las Vegas endocrinology care for diabetes, thyroid, bone, pituitary, adrenal and metabolic conditions.
Palm Medical Centers
A separate senior-focused primary-care organization with clinics in Central and South Florida.
Palms Medical Group
A separate North Florida community health organization offering primary care and other services.
Portal safety tip: Check the website domain, state and office address before entering medical information. The correct practice for this guide uses palmmedicalgroup.com and Las Vegas addresses.
New-patient referral
How to complete a Palm Medical Group endocrinology referral
Confirm why you are being referred
Ask your primary-care provider for the suspected condition, abnormal test or specific endocrine question being evaluated.
Check the insurance referral rule
Some HMO and managed-care plans require a formal referral or prior authorization. A doctor’s recommendation alone may not satisfy the insurance requirement.
Ask the referring office to send clinical records
Palm Medical Group states that it asks the primary-care office to send records related to the reason for referral.
Include the most useful evidence
Send recent office notes, laboratory trends, imaging reports, medication history, hospital records and earlier specialist notes connected to the endocrine concern.
Use the correct fax number
The practice publishes fax number
702-796-7256. Confirm receipt before assuming the referral is complete.
Call after transmission
Ask whether the referral, records and insurance authorization have all been received and whether anything is still missing.
Confirm which office and provider
Save the Southwest or Northwest address, suite number, provider name, appointment date and arrival instructions.
Referral status call script
“My name is [name], date of birth [date]. My provider at [office] sent a referral for [condition] on [date]. Can you confirm that you received the referral, clinical notes, laboratory results, imaging and insurance authorization? Please tell me exactly what is still missing before I schedule.”
Appointment workflow
How to schedule without losing time to missing information
Referral received when required
Insurance authorization completed when required
Relevant laboratory records received
Imaging reports and prior endocrine notes received
Correct Southwest or Northwest office selected
Provider participation verified with insurance
New-patient forms downloaded or completed
Arrival time and cancellation deadline saved
Cancellation policy: Palm Medical Group asks patients to provide at least 24 hours notice when they cannot attend. The published policy states that insufficient notice may result in a $50 fee.
Scheduling call script
“I need an endocrinology appointment for [condition]. My referral and records were sent by [provider]. My insurance is [full plan and network]. Can you confirm that the provider and location are in network, whether authorization is complete, which office I should visit and what tests or records I should bring?”
First-visit preparation
What to bring to Palm Medical Group
Identification and coverage
- Government-issued photo identification
- Current insurance card
- Referral or authorization details
- Preferred pharmacy name and phone number
Medical information
- Complete medication and supplement list
- Medication doses and timing
- Allergies and adverse reactions
- Recent laboratory and imaging reports
Condition-specific information that can improve the visit
D
Diabetes
Bring your glucose meter, pump or CGM reports, insulin settings, low-glucose history and recent A1C results.
T
Thyroid
Bring TSH and thyroid-hormone trends, ultrasound reports, biopsy results, surgery records and the exact way you take thyroid medicine.
B
Bone health
Bring bone-density reports, fracture history, calcium and vitamin D results and prior osteoporosis medication dates.
A
Adrenal condition
Bring CT or MRI reports, hormone test results, steroid exposure and a record of blood-pressure or symptom episodes.
P
Pituitary concern
Bring brain imaging, visual-field testing, hormone results and records of surgery or radiation when applicable.
L
Lipid disorder
Bring cholesterol trends, family history, prior medication effects and records of cardiovascular disease.
Las Vegas heat tip: Keep insulin, injectable medicines and temperature-sensitive supplies protected from extreme vehicle heat. Follow the storage instructions from the pharmacy or manufacturer rather than leaving medication in a parked car.
Endocrine services
Conditions treated by Palm Medical Group
Condition, common reason for referral and useful records
| Condition |
Why patients are referred |
Helpful records |
| Type 1 diabetes |
Insulin management, frequent glucose changes, pump or CGM care and complication prevention. |
CGM reports, pump settings, insulin doses, A1C trend and low-glucose events. |
| Type 2 diabetes |
Medication adjustment, persistent high glucose, treatment complications or complex care. |
Medication history, glucose log, A1C, kidney tests and eye or foot-care reports. |
| Gestational diabetes |
High glucose first recognized during pregnancy. |
Pregnancy dates, glucose log, obstetric records and current treatment plan. |
| Hypothyroidism |
Underactive thyroid, abnormal TSH or difficulty stabilizing medication. |
TSH and free-hormone trend, medication dose and timing details. |
| Hyperthyroidism |
Overactive thyroid, Graves disease, thyroiditis or abnormal hormone tests. |
Thyroid labs, antibody tests, scan or ultrasound reports and medication history. |
| Thyroid nodule or goiter |
Neck mass, enlarged thyroid or abnormal imaging. |
Ultrasound images and report, biopsy history and prior measurements. |
| Thyroid cancer |
Diagnosis, post-operative hormone management and surveillance. |
Pathology, surgery report, radioactive iodine records and follow-up imaging. |
| Osteoporosis or osteopenia |
Low bone density, fracture risk or medication selection. |
DEXA reports, fracture history, calcium, vitamin D and prior therapy. |
| Parathyroid disorder |
Abnormal calcium or parathyroid hormone results. |
Calcium, PTH, vitamin D, kidney function, urine studies and imaging. |
| Pituitary or adrenal condition |
Hormone abnormality, mass found on imaging or complex symptoms. |
Hormone testing, CT or MRI report, medication exposure and symptom history. |
| Hyperlipidemia |
High cholesterol or triglycerides requiring specialist evaluation. |
Fasting lipid trends, family history and medication intolerance records. |
| Metabolic syndrome |
Combined glucose, weight, blood-pressure and cholesterol risk. |
Weight trend, glucose results, lipid panel, blood pressure and current medicines. |
Diabetes care
How to prepare for diabetes management at Palm Medical Group
Palm Medical Group treats type 1, type 2 and gestational diabetes. Its providers work with insulin pumps, continuous glucose monitors and standard glucose meters.
Collect real glucose data
Bring the meter, CGM download or pump report instead of relying only on remembered numbers.
List every diabetes medicine
Include insulin type, dose, injection time, pills, injectable medicines and recent changes.
Record low-glucose episodes
Note the value, time, symptoms, treatment used and whether help from another person was required.
Bring complication screening results
Include kidney tests, eye-exam reports, foot concerns and cardiovascular history when available.
Discuss device barriers
Tell the team about sensor adhesion, alarm fatigue, supply delays, pump problems or difficulty reading the device.
Ask about education appointments
Palm Medical Group states that a certified diabetes educator is available by appointment for nutrition, insulin, pump and glucometer education.
Possible glucose emergency: Severe confusion, loss of consciousness, seizure, persistent vomiting, serious dehydration or rapid worsening can require emergency care. Do not wait for a routine portal response.
Thyroid care
What to expect when you are referred for a thyroid problem
Review symptoms and history
The clinician connects symptoms, prior diagnoses, family history, medication use and earlier thyroid treatment.
Review laboratory trends
One abnormal result may be interpreted differently from a consistent pattern across several tests.
Examine the thyroid and neck
The provider may assess thyroid size, tenderness, nodules and nearby lymph nodes.
Decide whether imaging is useful
Palm Medical Group offers in-office thyroid ultrasound when clinically needed.
Consider biopsy when indicated
Fine-needle aspiration may be recommended for selected nodules based on size, appearance, growth and clinical risk.
Create a monitoring or treatment plan
Next steps may include medication, repeat testing, ultrasound follow-up, biopsy, surgical referral or cancer surveillance.
Medication-timing tip: Tell the endocrinologist exactly how you take thyroid medicine, including the time, food, supplements and other medicines taken near it. Do not change timing or dose without professional guidance.
Bone and hormone disorders
Osteoporosis, parathyroid, pituitary and adrenal preparation
Osteoporosis
Bring every DEXA report, fracture date, height loss, fall history and past osteoporosis treatment.
Parathyroid
Bring calcium, PTH, vitamin D, kidney function and urine-calcium results when available.
Pituitary
Bring MRI reports, hormone testing, visual-field results and any previous surgery or radiation records.
Adrenal
Bring CT or MRI reports, hormone tests, steroid history and a timeline of blood-pressure or symptom attacks.
Do not bring only the latest result. Endocrine decisions often depend on trends, medication exposure and changes over time. Earlier reports can prevent unnecessary repeat testing.
Tests and procedures
Thyroid ultrasound, biopsy and endocrine testing
What each test helps evaluate
| Test or procedure |
Main purpose |
Preparation question |
| Blood tests |
Measure thyroid, diabetes, bone, pituitary, adrenal, calcium or lipid-related markers. |
Must I fast, change the test time or temporarily hold any medication? |
| Thyroid ultrasound |
Evaluate thyroid size, nodules, neck masses and structural changes. |
Should I bring prior images for comparison, not just the written report? |
| Fine-needle aspiration |
Collect cells from a selected thyroid nodule for laboratory examination. |
Does the office need information about blood thinners, bleeding history or prior biopsy results? |
| CGM or pump download |
Show glucose patterns, insulin delivery and treatment response over time. |
Does the clinic need an account connection, device upload or printed report before the visit? |
| Bone-density review |
Assess bone loss and fracture risk using the full DEXA report and clinical history. |
Can the earlier images or reports be obtained from the same imaging facility? |
Do not stop insulin, thyroid medicine, steroids or other endocrine treatment simply because testing is scheduled. Ask the ordering office for test-specific instructions.
Secure communication
How to use the Palm Medical Group patient portal effectively
Palm Medical Group describes its electronic portal as a way to send documented messages and requests to a medical assistant or provider.
Rx
Refill request
Include the medicine, strength, directions, pharmacy and when the current supply will run out.
?
Routine question
State the issue clearly, when it started and what response or action you need.
A
Appointment request
Include the reason, preferred office, date limits and whether the matter is new or follow-up.
Portal message format that is easier for the office to process
Subject: Refill request — levothyroxine 75 mcg
Message: “I take one tablet each morning. I have five tablets remaining. My pharmacy is [name, street and phone]. My last appointment was [date], and my next appointment is [date]. Please tell me if laboratory work or an appointment is needed before renewal.”
Portal messages are not emergency alerts. Call the office for urgent same-day guidance and call 911 for severe or life-threatening symptoms.
Prescription workflow
How to request a refill without creating duplicate requests
Check the prescription label
Confirm the medicine name, strength, directions, remaining refills and pharmacy.
Use one request channel
Submit through the portal or ask the pharmacy to fax or call the office. Several duplicate messages can slow review.
Request before the medicine runs out
Allow time for clinical review, laboratory requirements, insurance approval and pharmacy processing.
State whether anything changed
Mention a new dose, side effect, pregnancy, hospitalization, insurance change or different pharmacy.
Expect a safety review
The provider may need recent laboratory results or a follow-up visit before renewing certain treatments.
Confirm the pharmacy received it
When the expected processing time has passed, check with the pharmacy before submitting another request.
Insulin and device supply tip: Keep a record of the exact insulin, pen needle, syringe, sensor, transmitter, infusion set and test-strip model. Similar product names can cause preventable delays.
Insurance and patient payment
What Palm Medical Group says about insurance and fees
Palm Medical Group states that it participates with most major health insurance plans and files insurance claims as a courtesy.
Bring the card every visit
Insurance details, member numbers and network assignments can change.
Pay the visit-time amount
The practice says copays and the portion not covered by insurance are expected at the time of service.
Patient responsibility remains
Claim filing does not guarantee payment. The patient remains responsible for unpaid balances.
Verify more than the insurance-company name
Exact plan and network name
Selected Palm Medical Group provider
Southwest or Northwest office location
Specialist copay or coinsurance
Referral and prior-authorization requirements
Laboratory, imaging and procedure coverage
Deductible remaining for the year
Coverage for pumps, CGMs and related supplies
Insurance verification script
“I am scheduled with [provider] at Palm Medical Group, [Southwest/Northwest office], for endocrinology care. Is this provider and location in network under my exact plan? Do I need a referral or authorization? What is my specialist copay, deductible or coinsurance, and how are in-office ultrasound or biopsy billed?”
Important: “Most major plans” is not a guarantee that every provider, procedure or product is covered. Verify directly with the insurer and practice before the appointment.
After the appointment
Results, treatment plans and follow-up questions
Your laboratory result is abnormal
Do not change medication from the flag alone. Ask how the result fits with symptoms, earlier values and the treatment plan.
A result is missing
Confirm where the test was performed, whether Palm received it and whether the provider has reviewed it.
Your pharmacy has no prescription
Confirm the exact pharmacy and whether the request needs a visit, laboratory result or insurance authorization.
A device authorization is delayed
Ask whether the insurer needs glucose logs, visit notes, diagnosis codes, previous treatment history or a supplier form.
You need a copy for another doctor
Request the report early and specify the receiving provider, fax number and appointment date.
Symptoms changed after treatment
Contact the clinical team with the new symptom, start time, current medication dose and any relevant readings.
Result follow-up script
“I completed [test] at [facility] on [date]. Can you confirm that Palm Medical Group received the result, whether the provider reviewed it, whether my medication changes, and when I should repeat testing or return?”
Prevent common delays
Why an endocrinology appointment may be delayed
The referral arrived without records
Ask the referring office to send the recent note and test results, not only a one-line referral sheet.
The insurance authorization names another provider
Contact the insurer or referring office before the visit so the authorization matches the scheduled clinician and office.
Only part of the laboratory history arrived
Request the trend covering the clinically relevant period instead of only the newest result.
The imaging report arrived without images
Ask whether the endocrinologist needs the actual ultrasound, CT or MRI images for comparison.
The portal account is not working
Confirm the email and phone number held by the office and verify that you are using the Las Vegas Palm Medical Group portal.
The refill request keeps returning
Check whether the medicine needs laboratory monitoring, prior authorization or a follow-up appointment.
You went to the wrong office
Compare the confirmation with the Southwest and Northwest addresses, including suite number.
You cannot attend the visit
Cancel at least 24 hours ahead when possible to avoid the published $50 late-cancellation or missed-appointment fee.
Provider team
Palm Medical Group endocrinology providers
The official provider directory lists physicians and advanced-practice clinicians with training in endocrinology, diabetes, metabolism, obesity medicine, thyroid procedures and clinical research.
Dr. Bijan Ahrari
Board certified in Internal Medicine and Endocrinology, Diabetes and Metabolism; the practice also lists ECNU certification.
Dr. Serena Klugh
Board certified in Internal Medicine, board eligible in Endocrinology, Diabetes and Metabolism, and listed as a Certified Diabetes Technology Clinician.
Dr. Samer Nakhle
Medical director; board certified in Internal Medicine and Endocrinology, Diabetes and Metabolism, with in-office thyroid ultrasound and biopsy work.
Dr. Betsy Palal
Board certified in Internal Medicine and Endocrinology, Diabetes and Metabolism.
Dr. Omid Rad Pour
Board certified in Internal Medicine, Endocrinology, Diabetes and Metabolism, and Obesity Medicine.
Dr. Maryam Rivaz
Board certified in Internal Medicine and Endocrinology, Diabetes and Metabolism.
Dr. Nicholas Vernetti
Treats a broad range of endocrine disorders with stated interests in thyroid, pituitary disorders and osteoporosis.
Dr. Gayoung Kaylee Yu
Board certified in Internal Medicine and Endocrinology, Diabetes and Metabolism.
Ellen Neylon, FNP-BC
Family nurse practitioner with oncology and clinical-research experience.
Availability can change. Confirm which provider works at your selected location, accepts your insurance and is appropriate for your condition.
Las Vegas offices
Palm Medical Group locations, phone and maps
Southwest Office
9280 W Sunset Road, Suite 306
Las Vegas, NV 89148
Northwest Office
3150 N Tenaya Way, Suite 415
Las Vegas, NV 89128
Local arrival tip: Both offices are inside multi-suite medical buildings. Save the suite number, allow time for parking and building navigation, and confirm whether laboratory work occurs in the same building.
Patient questions answered
Palm Medical Group frequently asked questions
What does Palm Medical Group specialize in?
It is a Las Vegas endocrinology practice treating diabetes, thyroid disease, osteoporosis, parathyroid disorders, pituitary conditions, adrenal disorders, lipid problems and other hormone-related conditions.
Where are the Palm Medical Group offices?
The Southwest office is at 9280 West Sunset Road, Suite 306. The Northwest office is at 3150 North Tenaya Way, Suite 415.
What is the main phone number?
Call 702-696-7256. The published fax number is 702-796-7256.
What are the office hours?
Palm Medical Group publishes Monday-Friday hours of 8 a.m.-4 p.m. Confirm holiday and provider schedules before traveling.
Do I need a referral?
The practice accepts referrals from primary-care providers. Your insurance plan determines whether a formal referral or prior authorization is mandatory.
What records should be sent with the referral?
Send the referral reason, recent clinical notes, relevant laboratory trends, imaging reports, medication history and prior specialist records.
Does Palm Medical Group treat diabetes?
Yes. It treats type 1, type 2 and gestational diabetes and works with insulin pumps, CGMs and glucose meters.
Can I receive diabetes education?
The practice states that a certified diabetes educator is available by appointment for nutrition, insulin, insulin-pump and glucometer education.
Does the practice perform thyroid ultrasound?
Yes. Palm Medical Group states that in-office thyroid ultrasound is available when clinically appropriate.
Are thyroid biopsies performed in the office?
The practice states that fine-needle aspiration thyroid biopsies are performed in the office when indicated.
How do I request a prescription refill?
Use the patient portal or ask your pharmacy to fax or call the practice. Include the medicine, dose, directions and correct pharmacy.
What can the patient portal be used for?
The portal supports documented routine messages and electronic requests to the medical assistant or provider.
Does Palm Medical Group accept insurance?
The practice says it participates with most major insurance plans. Verify your exact provider, network, office and service before the visit.
Is there a missed-appointment fee?
The practice asks for 24 hours notice and states that insufficient notice may result in a $50 fee.
Final official actions
Official Palm Medical Group resources
The referral, preparation, insurance, refill and follow-up steps are explained above. Use the official website when you are ready to download a form, access the portal, review the provider list or contact the practice.
