Active NPI
Srinivas Vuthoori, MD, PC
- Internal Medicine Physician
- Henderson, NV
National Provider Identifier
1013964824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10013
- Legal business name
- SRINIVAS VUTHOORI, MD, PC
- Practice address
- 2610 W Horizon Ridge Pkwy
Suite #103
Henderson, NV 89052-2869 - Phone
- (702) 407-8241
- Fax
- (702) 492-1728
- NPI assigned
- May 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Srinivas Vuthoori, M.D.
- Title
- President
- Phone
- (702) 407-8241
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10013 | NV | Primary |
Addresses
Primary practice location
2610 W Horizon Ridge Pkwy
Suite #103
Henderson, NV 89052-2869
Mailing address
PO Box 36670
Las Vegas, NV 89133-6670
Phone (702) 407-8241
Other names 1
- Odyssey Medical Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Blythe, CA
- NPI 1235183278
-
- Internal Medicine Physician
- Houston, TX
- NPI 1336113323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013964824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36670",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891336670",
"telephone_number": "702-407-8241",
"fax_number": "702-492-1728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 W HORIZON RIDGE PKWY",
"address_2": "SUITE #103",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522869",
"telephone_number": "702-407-8241",
"fax_number": "702-492-1728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SRINIVAS VUTHOORI, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VUTHOORI",
"authorized_official_first_name": "SRINIVAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-407-8241",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "10013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Odyssey Medical Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.