Individual provider Active NPI

Vandhana Wadhwa, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1104911437
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16790 Issued in NV
Practice address
3041 E Flamingo Rd Ste a
Las Vegas, NV 89121-7447
Phone
(702) 436-0835
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 16790 NV Primary

Addresses

Primary practice location

3041 E Flamingo Rd Ste a
Las Vegas, NV 89121-7447

Mailing address

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329
Phone (562) 977-4674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210317002576 NV Practitioner - Internal Medicine 8022018944 Reassigns benefits to 2 organizations
I20250925001088 AZ Practitioner - Internal Medicine 8022018944 Reassigns benefits to 1 organization
I20260224003243 CA Practitioner - Internal Medicine 8022018944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 700
Cerritos, CA 90703-9329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16790NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Group of Nevada, PC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Aug 19, 2025 Accepting new patients
Albion Medical Partners of California West P C Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Carelon Medical Partners of Arizona, P.C. Internal Medicine CurrentSince Aug 19, 2025 Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Locations

7091 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 402-6092

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

3150 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 233-4950

3041 E Flamingo Rd
Ste A
Las Vegas, NV 89121
Phone (702) 436-0835

294 E Moana Ln
Ste 25
Reno, NV 89502
Phone (702) 233-4950

Interoperability endpoints

  • Direct secure messaging: vandhana.wadhwa.1@32527.direct.athenahealth.com
  • Direct secure messaging: vandhana.wadhwa.p1@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: vandhana.wadhwa.p5@direct.caremorewest.nextgenshare.com

Organizations & group practices 5

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1104911437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-977-4674",
            "fax_number": "562-741-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 E FLAMINGO RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217447",
            "telephone_number": "702-436-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADHWA",
        "first_name": "VANDHANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "16790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.