Active NPI
Vivek Srinarayana, MD
- Anesthesiology Physician
- Las Vegas, NV
National Provider Identifier
1194796771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 11571
- Practice address
- 2450 W Charleston Blvd
Las Vegas, NV 89102-2179 - Phone
- (702) 877-8660
- Fax
- (702) 877-5140
- NPI assigned
- Jan 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 11571 | NV | Primary |
Addresses
Primary practice location
2450 W Charleston Blvd
Las Vegas, NV 89102-2179
Mailing address
PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 877-8661
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100507544 | Medicaid | NV | |
| 200122850 A | Medicaid | OK | |
| 31129234 | Medicaid | NM | |
| 77639839 | Medicaid | CO | |
| 1194796771 | Medicaid | NV | |
| 0247707 | Medicaid | NJ | |
| 977142 | Medicaid | AZ |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Group Rhodes P C | Anesthesiology | Current | Accepting new patients |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Red Rock Anesthesia Consultants LLC | Anesthesiology | Current | Accepting new patients |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Current | Accepting new patients |
Locations
58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
Interoperability endpoints
- vsrinarayana12803@direct.umcsn.com
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1235660002
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Specialist
- Las Vegas, NV
- NPI 1063458594
-
- Radiation Oncology Physician
- Las Vegas, NV
- NPI 1225609464
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1982289690
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1417947490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1194796771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15645",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891145645",
"telephone_number": "702-877-8661",
"fax_number": "702-877-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022179",
"telephone_number": "702-877-8660",
"fax_number": "702-877-5140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRINARAYANA",
"first_name": "VIVEK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NV",
"license": "11571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100507544",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200122850 A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31129234",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77639839",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194796771",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0247707",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "977142",
"state": "AZ"
}
],
"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 Jan 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.