Individual provider Active NPI

Jyotirmayee Lenka, MD, MBBS

  • Pulmonary Disease Physician
  • North Las Vegas, NV
National Provider Identifier
1225559909
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
78249 Issued in CT
Practice address
6900 North Pecos Road
Dept of Pulmonary, Critical Care and Sleep Medicine
North Las Vegas, NV 89086
Phone
(702) 791-9000
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 78249 CT
Sleep Medicine (Internal Medicine) Physician 207RS0012X 78249 CT
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X 78249 CT Primary

Addresses

Primary practice location

6900 North Pecos Road
Dept of Pulmonary, Critical Care and Sleep Medicine
North Las Vegas, NV 89086

Mailing address

7350 W Centennial Pkwy Unit 2138
Las Vegas, NV 89131-1673
Phone (213) 884-5130

Other practice location 1

1501 North Campbell Drive
Division of Pulmonary Critical Care & Sleep Medicine
Tucson, AZ 85724-5030
Phone (520) 626-6114

Other practice location 2

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

Other practice location 3

263 Farmington Ave
Dept of Pulmonary, Critical Care and Sleep Medicine
Farmington, CT 06030-1321
Phone (860) 679-4013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20181213001041 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6901141357

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78249CTMDSleep Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1225559909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 W CENTENNIAL PKWY UNIT 2138",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311673",
            "telephone_number": "213-884-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 NORTH PECOS ROAD",
            "address_2": "DEPT OF PULMONARY, CRITICAL CARE AND SLEEP MEDICINE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89086",
            "telephone_number": "702-791-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 North Campbell Drive",
            "address_2": "Division of Pulmonary Critical Care & Sleep Medicine",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857245030",
            "country_code": "US",
            "telephone_number": "520-626-6114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213001",
            "country_code": "US",
            "telephone_number": "585-922-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Farmington Ave",
            "address_2": "Dept of Pulmonary, Critical Care and Sleep Medicine",
            "address_purpose": "LOCATION",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060301321",
            "country_code": "US",
            "telephone_number": "860-679-4013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENKA",
        "first_name": "JYOTIRMAYEE",
        "credential": "MD, MBBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "78249",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CT",
            "license": "78249",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "78249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.