Individual provider Active NPI

Kandarp Yogesh Bhatt, M.D.

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1215165147
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
15776 Issued in NV
Practice address
2020 Palomino LN
Ste # 100
Las Vegas, NV 89106-4894
Phone
(702) 759-8600
Fax
(702) 384-1815
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 258339 MA
Diagnostic Radiology Physician 2085R0202X 6031 NE
Diagnostic Radiology Physician 2085R0202X 15776 NV Primary

Addresses

Primary practice location

2020 Palomino LN
Ste # 100
Las Vegas, NV 89106-4894

Mailing address

2020 Palomino LN
Ste # 100
Las Vegas, NV 89106-4894
Phone (702) 759-8600

Other identifiers 3

IdentifierTypeStateIssuer
1215165147MedicaidNV
P01529438OtherNVRR MEDICARE DR
P01672444OtherNVRR MEDICARE DRS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508001271 NV Practitioner - Diagnostic Radiology 7012132889 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Columbia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shelin Agrawal and Hyer PLLCGroup PAC ID 5890955959, 65 clinicians
Ellis Bandt Birkin Kollins and Wong PLLCGroup PAC ID 4486568946, 68 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89106
Phone (702) 759-8600

2811 W Horizon Ridge Pkwy
Henderson, NV 89052-4394
Phone (702) 759-8600

3025 S Rainbow Blvd
Las Vegas, NV 89146-6582
Phone (702) 759-8600

3920 S Eastern Ave
Suite 100
Las Vegas, NV 89119-5171
Phone (702) 759-8600

6675 S Cimarron Rd
Las Vegas, NV 89113-2132
Phone (702) 759-8600

7200 Cathedral Rock Dr
Suite 230
Las Vegas, NV 89128-0440
Phone (702) 759-8600

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6031NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Aug 13, 2019 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 13, 2019 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients

Locations

3175 Saint Rose Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 932-2740

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779

6675 S Cimarron Rd
Ste 105
Las Vegas, NV 89113

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

3025 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 222-2354

4880 Wynn Rd
Ste 100
Las Vegas, NV 89103
Phone (702) 759-4600

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

7200 Cathedral Rock Dr
Ste 230
Las Vegas, NV 89128
Phone (702) 623-7568

888 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 877-5375

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

1397 S Loop Rd
Ste 100
Pahrump, NV 89048

Interoperability endpoints

  • Direct secure messaging: kbhatt14358@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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1215165147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN",
            "address_2": "STE # 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN",
            "address_2": "STE # 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATT",
        "first_name": "KANDARP",
        "middle_name": "YOGESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "258339",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "6031",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "15776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215165147",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE  DR",
            "identifier": "P01529438",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE  DRS",
            "identifier": "P01672444",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.