Organization Active NPI

Srinivas Vuthoori, MD, PC

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1013964824
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10013 Issued in NV
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

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Srinivas Vuthoori, M.D.NPI 1235183278
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.