Individual provider Active NPI

Krupesh Bhakta, DO

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1114452687
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DO3126 Issued in NV
Practice address
2020 Wellness Way Ste 300
Las Vegas, NV 89106-4145
Phone
(702) 432-2233
Fax
(702) 800-5456
NPI assigned
Apr 21, 2017
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X DO3126 NV Primary
Clinical Neurophysiology Physician 2084N0600X DO3126 NV

Addresses

Primary practice location

2020 Wellness Way Ste 300
Las Vegas, NV 89106-4145

Mailing address

1930 Village Center Cir Ste 3-717
Las Vegas, NV 89134-6299
Phone (702) 432-2233

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
I20220715000817 NV Practitioner - NeurologyPractitioner - Other (Physician) 4981085446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Janda Mahajan and Balsiger PLLCGroup PAC ID 7315257797, 32 clinicians

Practice addresses (Care Compare)

2020 Wellness Way
Suite 300
Las Vegas, NV 89106-4145
Phone (702) 432-2233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.39 of 100Reported as individual
Quality
58.12
Improvement activities
0
Cost
68.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Janda, Mahajan & Balsiger PLLC Neurology CurrentSince Jul 1, 2022 Accepting new patients
Janda, Mahajan & Balsiger PLLC Neurology PastSince Jul 3, 2022 Accepting new patients

Locations

1930 Village Center Cir
Ste 3717
Las Vegas, NV 89134

2020 Wellness Way
Ste 300
Las Vegas, NV 89106
Phone (702) 477-7000

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1114452687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR STE 3-717",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346299",
            "telephone_number": "702-432-2233",
            "fax_number": "702-800-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-432-2233",
            "fax_number": "702-800-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "KRUPESH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "DO3126",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NV",
            "license": "DO3126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.