Revathi Bedudoori

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

862399 Issued in NV

Practice address

9750 Maspalomas St
Las Vegas, NV 89178-7512

Phone

(702) 481-9763

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rd Prabhu-Lata K Shete MDS LTDGroup PAC ID 8820994791, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rd Prabhu-Lata K Shete MDS LTD

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1912995309
  Medicare reassignment Care Compare group NPD
• Digestive Associates LLP

  • Gastroenterology Physician
  • North Las Vegas, NV
  • NPI 1629242698
  NPD
• Rd Prabhu-Lata K Shete MDS LTD

  dba The Sleep Centers of Nevada

  • Sleep Disorder Diagnostic Clinic/Center
  • Las Vegas, NV
  • NPI 1184083289
  NPD
• Rd Prabhu-Lata K Shete MDS LTD

  dba The Sleep Centers of Nevada

  • Sleep Disorder Diagnostic Clinic/Center
  • Henderson, NV
  • NPI 1790144897
  NPD
• The Sleep Center of Nevada

  • Sleep Specialist (PhD)
  • Las Vegas, NV
  • NPI 1235949967
  NPD (past)

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1073396719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 MASPALOMAS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891787512",
            "telephone_number": "702-481-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 MASPALOMAS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891787512",
            "telephone_number": "702-481-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDUDOORI",
        "first_name": "REVATHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "862399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Bedolla Jr.
• John Bradley Bedotto, M.D.
• Bedrock Medical LLC
• Lauren Victoria Bedrock, APRN
• Jeannette Bedros
• Beduya-Princer, LLC (Envigor Medical and Behavioral Center)
• Beduya-Princer, LLC (Envigor Medical And Behavioral Center)
• Maria Tessie Aroma Beduya-Princer, M.D.
• Karla Bee, PA-C
• Michael D Beebe, PT

• Acute Care Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Acute Care Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.