NPIMap

Individual provider Active NPI

Sahityan Viswanathan, M.D.

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1194251793
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
22333 Issued in NV
Practice address
2545 S Bruce St Ste 200
Las Vegas, NV 89169-1778
Phone
(702) 732-2438
Fax
(702) 737-5043
NPI assigned
May 3, 2017
Last updated
May 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP20071809 TX
Student in an Organized Health Care Education/Training Program 390200000X NU
Nephrology Physician 207RN0300X 22333 NV Primary

Addresses

Primary practice location

2545 S Bruce St Ste 200
Las Vegas, NV 89169-1778

Mailing address

2545 S Bruce St Ste 200
Las Vegas, NV 89169-1778
Phone (702) 732-2438

Other identifiers 1

IdentifierTypeStateIssuer
1194251793MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sviswanatha51456@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726001796 NV Practitioner - NephrologyPractitioner - Internal Medicine 5799167581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nkdhc Rudnitsky PLLCGroup PAC ID 1557582210, 44 clinicians

Practice addresses (Care Compare)

2545 S Bruce St
Suite 200
Las Vegas, NV 89169-1731
Phone (702) 732-2438

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP20071809TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Nkdhc Rudnitsky PLLC Nephrology CurrentSince Jul 25, 2022 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Nkdhc Rudnitsky PLLC Nephrology Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

1051 Wellness Pl
Ste 140
Henderson, NV 89011
Phone (702) 289-4037

3051 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 726-6344

1581 Mount Mariah Dr
Ste 150
Las Vegas, NV 89106
Phone (702) 851-7766

2450 Fire Mesa St
Ste 110
Las Vegas, NV 89128
Phone (702) 853-0090

2543 S Bruce St
Ste 200
Las Vegas, NV 89169
Phone (702) 732-2438

5815 S Rainbow Blvd
#110
Las Vegas, NV 89118
Phone (702) 588-7077

Interoperability endpoints

  • Direct secure messaging: sahityan.viswanathan.p112@direct.aac.nextgenshare.com
  • Direct secure messaging: sviswanathan110155@direct.phhs.org

Organizations & group practices 6

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 8

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1194251793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 S BRUCE ST STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891691778",
            "telephone_number": "702-732-2438",
            "fax_number": "702-737-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 S BRUCE ST STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891691778",
            "telephone_number": "702-732-2438",
            "fax_number": "702-737-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISWANATHAN",
        "first_name": "SAHITYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP20071809",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "22333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194251793",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sviswanatha51456@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "2545 S Bruce St Ste 200",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891691778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.