Tresa Chakkalakkal, MD
Individual provider Active NPI Pediatrics Physician · Las Vegas, NV
NPI 1053535906 · NPPES record last updated Sep 5, 2026
Key facts
- NPI
- 1053535906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 12578 (NV)
- Practice address
- 653 N Town Center Dr
Suite 106
Las Vegas, NV 89144-0514 - Phone
- (702) 363-3000
- Fax
- (702) 363-3161
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002415 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients | |
| Sunshine Valley Health Care-Wesley J. Robertson M.D. Prof. Corp. | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12578 | NV | Yes |
Addresses
Primary practice location
653 N Town Center Dr
Suite 106
Las Vegas, NV 89144-0514
Mailing address
43 Moonfire Dr
Las Vegas, NV 89135-7800
Phone (702) 461-3014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2682259 | Medicaid | NY |
Other providers in Las Vegas, NV
- Marlenny Chaidez
- Nancy Chaidez
- Alma Ruth Chairez de Gonzalez
- Natalie Chairez
- Noama Chakir
- Jonathan Gregory Chakrian
- Rustam Chakryan
- Yidanys Chala
- Chompunut Chalearnlap
- Mariam Chalikyan-Basambekyan
All providers in Las Vegas, NV · Pediatrics 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 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.