Organization Active NPI

Kusum Dipak Desai MD Chartered

  • Pulmonary Disease Physician
  • Las Vegas, NV
National Provider Identifier
1215161906
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4051 Issued in NV
Legal business name
KUSUM DIPAK DESAI MD CHARTERED
Doing business as
Pulmonary Medicine
Practice address
6450 Medical Center St
Ste 4
Las Vegas, NV 89148-2405
Phone
(702) 739-9518
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Kusum Desai, MD
Title
Owner
Phone
(702) 306-4691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 4051 NV Primary

Addresses

Primary practice location

6450 Medical Center St
Ste 4
Las Vegas, NV 89148-2405

Mailing address

9811 W Charleston Blvd
Ste 2857
Las Vegas, NV 89117-7528

Other names 1

  • Pulmonary Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

538 S Rainbow Blvd
Ste 110
Las Vegas, NV 89145
Phone (702) 382-2919

9811 W Charleston Blvd
Ste 2857
Las Vegas, NV 89117

6450 Medical Center St
Ste 4
Las Vegas, NV 89148
Phone (702) 739-9518

538 S Rainbow Blvd
Ste 110
Las Vegas, NV 89145
Phone (702) 382-2919

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1215161906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD",
            "address_2": "STE 2857",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 MEDICAL CENTER ST",
            "address_2": "STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482405",
            "telephone_number": "702-739-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSUM DIPAK DESAI MD CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "KUSUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-306-4691",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "4051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonary Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 19, 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.