Rahul Devroy, MD
Individual provider Active NPI Internal Medicine Physician · Las Vegas, NV
NPI 1003479940 · NPPES record last updated Sep 21, 2022
Key facts
- NPI
- 1003479940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 22722 (NV)
- Practice address
- 4490 N Rancho Dr
Las Vegas, NV 89130-3406 - Phone
- (702) 655-0550
- Fax
- (702) 655-0545
- NPI assigned
- Apr 16, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Texas a & M University System, HSC, College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Intermountain Medical Holdings Nevada Inc
Practice addresses (Care Compare)
595 W Lake Mead Pkwy
Henderson, NV 89015-7015
Phone (702) 566-5500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220919002143 | NV | Practitioner - Internal Medicine | 5597092841 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22722 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Internal Medicine | Current |
Accepting new patients |
| Intermountain Medical Holdings Nevada Inc | Current |
Accepting new patients |
Locations
595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Interoperability endpoints
- rahuldevroy@hcpnv.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NV | ||
| Internal Medicine Physician | 207R00000X | 22722 | NV | Yes |
Addresses
Primary practice location
4490 N Rancho Dr
Las Vegas, NV 89130-3406
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346
Other practice location 1
1701 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2312
Phone (702) 671-2341
Other practice location 2
595 W Lake Mead Pkwy
Henderson, NV 89015-7015
Phone (702) 216-3346
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22722 | Other | NV | STATE LICENSE |
| 1003479940 | Medicaid | NV |
Other providers in Las Vegas, NV
- Phillip Russell Devore
- Renee Devoure
- Britley China Devoux
- Seetiana Carolina Devoux
- Josh Devries
- Jazmine Dew-Patterson
- Danielle Dew
- Asheesh Kumar Dewan
- Brittany Dewberry
- Bianca Nicole Deweerdt
All providers in Las Vegas, NV · Internal Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.