Active NPI
Rosalie S Kalili, MD
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1174649586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 13191
- Practice address
- 8352 W Warm Springs Rd
Suite 210
Las Vegas, NV 89113-3628 - Phone
- (702) 944-4028
- Fax
- (702) 944-4019
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 13191 | NV | Primary |
Addresses
Primary practice location
8352 W Warm Springs Rd
Suite 210
Las Vegas, NV 89113-3628
Mailing address
8352 W Warm Springs Rd
Suite 210
Las Vegas, NV 89113-3628
Phone (702) 944-4028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100500484 GROUP | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13191 | NV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Children'S Clinic | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Las Vegas, NV
- NPI 1508055260
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1174649586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8352 W WARM SPRINGS RD",
"address_2": "SUITE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891133628",
"telephone_number": "702-944-4028",
"fax_number": "702-944-4019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8352 W WARM SPRINGS RD",
"address_2": "SUITE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891133628",
"telephone_number": "702-944-4028",
"fax_number": "702-944-4019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALILI",
"first_name": "ROSALIE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "13191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100500484 GROUP",
"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 May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.