NPIMap

Organization Active NPI

Kuthuru Desert Pain Management PC

Doing business as Desert Pain Management

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1144474685
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1201 Issued in NV
Legal business name
KUTHURU DESERT PAIN MANAGEMENT PC
Doing business as
Desert Pain Management
Practice address
5701 W Charleston Blvd
Suite 207
Las Vegas, NV 89146-1217
Phone
(702) 240-8318
Fax
(702) 240-8331
NPI assigned
Nov 11, 2008
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Mahesh Reddy Kuthuru, MDNPI 1770534745
Title
President
Phone
(702) 371-6173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1201 NV Primary

Addresses

Primary practice location

5701 W Charleston Blvd
Suite 207
Las Vegas, NV 89146-1217

Mailing address

5701 W Charleston Blvd
Suite 207
Las Vegas, NV 89146-1217
Phone (702) 240-8318

Other identifiers 1

IdentifierTypeStateIssuer
1770534745OtherNYPERSONAL NPI

Other names 1

  • Desert Pain Management Doing business as

National Provider Directory

National Provider Directory

Locations

5701 W Charleston Blvd
Ste 207
Las Vegas, NV 89146
Phone (702) 240-8318

6845 W Charleston Blvd
Ste B
Las Vegas, NV 89117
Phone (702) 240-8318

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1144474685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W CHARLESTON BLVD",
            "address_2": "SUITE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461217",
            "telephone_number": "702-240-8318",
            "fax_number": "702-240-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W CHARLESTON BLVD",
            "address_2": "SUITE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461217",
            "telephone_number": "702-240-8318",
            "fax_number": "702-240-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUTHURU DESERT PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "KUTHURU",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-371-6173",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "1201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1770534745",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.