Las Vegas Radiology LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

PENDING Issued in NV

Legal business name

LAS VEGAS RADIOLOGY LLC

Doing business as

Las Vegas Radiology

Practice address

7500 Smoke Ranch Rd.
Ste. 100
Las Vegas, NV 89128

Phone

(702) 254-5004

Fax

(702) 432-4005

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prem K Kittusamy, M.D.NPI 1568478840

Title

President

Phone

(702) 254-5004

Specialties & licenses 1

Addresses

Other names 1

• Las Vegas Radiology Doing business as

Locations

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.

• Prem K Kittusamy, MD

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1568478840
  NPD (past) Authorized official
• Nadeer Pirani, M.D.

  • Vascular & Interventional Radiology Physician
  • Las Vegas, NV
  • NPI 1891907085
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063534923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD",
            "address_2": "#2542",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-254-5004",
            "fax_number": "702-432-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 SMOKE RANCH RD.",
            "address_2": "STE. 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-254-5004",
            "fax_number": "702-432-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KITTUSAMY",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-254-5004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Las Vegas Providers, PLLC
• Las Vegas Psychiatry & Wellness Center
• Las Vegas Psychiatry & Wellness Center (Grand Desert Behavioral Center)
• Las Vegas Psychiatry LLC
• Las Vegas Radiologists, Inc.
• Las Vegas Regional Surgery Center, LP
• Las Vegas Rehabilitation Services
• Las Vegas Rescue Mission
• Las Vegas Ridge Healthcare, LLC (Charleston Post Acute)
• Las Vegas Scooters & Lifts

• Diagnostic Radiology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Diagnostic Radiology Physician in Nevada

• 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.