Individual provider Active NPI

Keralapura Padmini Subramanyam, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1225096209
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NV6696 Issued in NV
Practice address
4331 N Rancho Dr
Las Vegas, NV 89130-3407
Phone
(702) 383-3800
Fax
(702) 395-9511
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NV6696 NV Primary

Addresses

Primary practice location

4331 N Rancho Dr
Las Vegas, NV 89130-3407

Mailing address

2517 Sun Reef Rd
Las Vegas, NV 89128-6880
Phone (702) 363-5392

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
I20120622000507 NV Practitioner - Family Practice 1951566090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 Wheeler Peak Dr
Las Vegas, NV 89106-2150
Phone (702) 383-2565

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

2031 N Buffalo Dr
Las Vegas, NV 89128-0269
Phone (702) 383-3750

4180 S Rainbow Blvd
Las Vegas, NV 89103-3135

5785 Centennial Ctr Blvd
Suite 190
Las Vegas, NV 89149-7110
Phone (702) 383-6270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NV6696NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Nov 1, 1999 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Nov 1, 1999 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

525 Marks St
Henderson, NV 89014
Phone (702) 383-6210

61 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 383-6240

9320 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 383-3633

2031 N Buffalo Dr
Las Vegas, NV 89128
Phone (702) 383-2650

1700 Wheeler Peak Dr
Las Vegas, NV 89106
Phone (702) 383-2565

2231 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 383-2663

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

5785 Centennial Center Blvd
Ste 190
Las Vegas, NV 89149
Phone (702) 383-6270

4180 S Rainbow Blvd
Ste 810
Las Vegas, NV 89103
Phone (702) 383-3626

1800 W Charleston Blvd
Ste 508
Las Vegas, NV 89102
Phone (702) 383-2688

4760 Blue Diamond Rd
Ste 110
Las Vegas, NV 89139
Phone (702) 383-2300

4331 N Rancho Dr
Las Vegas, NV 89130
Phone (702) 383-3800

Interoperability endpoints

  • Direct secure messaging: ksubramanyam5955@direct.umcsn.com

Organizations & group practices 3

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225096209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 SUN REEF RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286880",
            "telephone_number": "702-363-5392",
            "fax_number": "702-233-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 N RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303407",
            "telephone_number": "702-383-3800",
            "fax_number": "702-395-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANYAM",
        "first_name": "KERALAPURA",
        "middle_name": "PADMINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "NV6696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.