Active NPI
Sujatha Battula
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1194272880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN002238
- Practice address
- 2820 W Charleston Blvd
Ste 33
Las Vegas, NV 89102-6707 - Phone
- (702) 388-4428
- Fax
- (702) 870-6821
- NPI assigned
- Sep 9, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN002238 | NV | Primary |
Addresses
Primary practice location
2820 W Charleston Blvd
Ste 33
Las Vegas, NV 89102-6707
Mailing address
2820 W Charleston Blvd
Ste 33
Las Vegas, NV 89102-2023
Phone (702) 388-4428
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170120001301 | NV | Practitioner - Nurse Practitioner | 0547542896 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ram K Singh M D LTD | Current | Accepting new patients |
Locations
4432 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 733-2982
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": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1194272880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD",
"address_2": "STE 33",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022023",
"telephone_number": "702-388-4428",
"fax_number": "702-870-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W CHARLESTON BLVD",
"address_2": "STE 33",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891026707",
"telephone_number": "702-388-4428",
"fax_number": "702-870-6821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTULA",
"first_name": "SUJATHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN002238",
"primary": true
}
],
"identifiers": [],
"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 Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.