Individual provider Active NPI

Lambert R Abeyatunge, MD

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1154439677
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7682 Issued in NV
Practice address
2255C Renaissance Dr
Las Vegas, NV 89119-6751
Phone
(702) 735-1202
Fax
(702) 735-1996
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7682 NV Primary

Addresses

Primary practice location

2255C Renaissance Dr
Las Vegas, NV 89119-6751

Mailing address

2255C Renaissance Dr
Las Vegas, NV 89119-6751
Phone (702) 735-1202

Other identifiers 1

IdentifierTypeStateIssuer
2019032MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7682NVMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lambert R Abeyatunge MD Facs Professional Corporation Surgery Past Accepting new patients

Organizations & group practices 1

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1154439677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255C RENAISSANCE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196751",
            "telephone_number": "702-735-1202",
            "fax_number": "702-735-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255C RENAISSANCE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196751",
            "telephone_number": "702-735-1202",
            "fax_number": "702-735-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEYATUNGE",
        "first_name": "LAMBERT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "7682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019032",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 18, 2010; 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.