Individual provider Active NPI

Beata Anna Taratuta, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1093761512
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9441 Issued in NV
Practice address
4900 W Craig Rd
Las Vegas, NV 89130
Phone
(725) 293-5350
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9441 NV Primary

Addresses

Primary practice location

4900 W Craig Rd
Las Vegas, NV 89130

Mailing address

102 Woodmont Blvd.
Ste 600
Nashville, TN 37205-7528
Phone (629) 224-1618

Other identifiers 1

IdentifierTypeStateIssuer
100502642MedicaidNV

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408001435 NV Practitioner - Internal Medicine 9133014483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Nevada, P.C. Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1501 W Sunset Rd
Henderson, NV 89014
Phone (725) 269-7001

4900 W Craig Rd
Las Vegas, NV 89130
Phone (725) 269-3368

6190 W Lake Mead Blvd
Las Vegas, NV 89108
Phone (725) 293-4224

921 W Owens Ave
Ste 150
Las Vegas, NV 89106
Phone (252) 693-3647

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1093761512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD.",
            "address_2": "STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372057528",
            "telephone_number": "629-224-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 W CRAIG RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89130",
            "telephone_number": "725-293-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARATUTA",
        "first_name": "BEATA",
        "middle_name": "ANNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502642",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.