Individual provider Active NPI

Devasis N. Reddy, MD

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1215457478
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20923 Issued in NV
Practice address
2020 Wellness Way Ste 402
Las Vegas, NV 89106-4145
Phone
(702) 485-5000
Fax
(702) 485-5001
NPI assigned
Jun 20, 2017
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301112019 MI
Ophthalmology Physician 207W00000X 20923 NV Primary

Addresses

Primary practice location

2020 Wellness Way Ste 402
Las Vegas, NV 89106-4145

Mailing address

2020 Wellness Way Ste 402
Las Vegas, NV 89106-4145
Phone (702) 485-5000

Other practice location 1

7305 S Pecos Rd Ste 101
Las Vegas, NV 89120-3701
Phone (702) 485-5000

Other practice location 2

8352 W Warm Springs Rd Ste 130
Las Vegas, NV 89113-3629
Phone (702) 485-5000

Other practice location 3

10105 Banburry Cross Dr Ste 255
Las Vegas, NV 89144-6648
Phone (702) 485-5000

Other practice location 4

6850 N Durango Dr Ste 106
Las Vegas, NV 89149-4596
Phone (702) 485-5000

Other identifiers 1

IdentifierTypeStateIssuer
1215457478MedicaidNV

Other names 1

  • Dave Reddy Other name

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
I20210630002384 NV Practitioner - Ophthalmology 9638440142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oakland Univ, William Beaumont School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shepherd Eye Center LTDGroup PAC ID 9234125907, 42 clinicians

Practice addresses (Care Compare)

2020 Wellness Way
Suite 402
Las Vegas, NV 89106-4145
Phone (702) 896-6043

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
92.12
Improvement activities
40
Cost
68.61

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
82.33
Improvement activities
40
Cost
79.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery571

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301112019MIMDInternal Medicine Physician
20923NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Nevada LLP Ophthalmology Current Accepting new patients
Retina Consultants of Nevada LLP Ophthalmology CurrentSince Nov 1, 2023 Accepting new patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Oct 5, 2022 Accepting new patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Oct 5, 2022 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Shepherd Eye Center, LTD Ophthalmology Past Accepting new patients

Locations

2850 W Horizon Ridge Pkwy
Ste 300
Henderson, NV 89052
Phone (702) 202-4776

710 Coronado Center Dr
Ste 201
Henderson, NV 89052

10105 Banburry Cross Dr
Ste 255
Las Vegas, NV 89144

2020 Wellness Way
Ste 401
Las Vegas, NV 89106
Phone (702) 380-1059

2020 Wellness Way
Ste 402
Las Vegas, NV 89106
Phone (702) 387-1757

3201 S Maryland Pkwy
Ste 500
Las Vegas, NV 89109
Phone (702) 369-3066

3575 Pecos McLeod
Las Vegas, NV 89121
Phone (512) 314-1612

501 Rose St
Ste 150
Las Vegas, NV 89106
Phone (702) 384-7770

6220 N Durango Dr
Las Vegas, NV 89149

653 N Town Center Dr
Ste 518
Las Vegas, NV 89144

6850 N Durango Dr
Ste 106
Las Vegas, NV 89149

7305 S Pecos Rd
Ste 101
Las Vegas, NV 89120

8352 W Warm Springs Rd
Ste 130
Las Vegas, NV 89113

1301 Bertha Howe Ave
Mesquite, NV 89027
Phone (435) 251-2500

1301 Bertha Howe Ave
Ste 11
Mesquite, NV 89027
Phone (435) 656-2020

1791 E 280 N
St George, UT 84790
Phone (435) 628-4429

Interoperability endpoints

  • Direct secure messaging: dreddy@cepnv-ne.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1215457478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 402",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 402",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7305 S Pecos Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891203701",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8352 W Warm Springs Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891133629",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10105 Banburry Cross Dr Ste 255",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446648",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6850 N Durango Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494596",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "DEVASIS",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301112019",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "20923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215457478",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVE",
            "last_name": "REDDY",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.