Organization Active NPI

Rajiv P Amesur DO PC

  • Pulmonary Disease Physician
  • Henderson, NV
National Provider Identifier
1225645682
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
RAJIV P AMESUR DO PC
Practice address
1669 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89012-3516
Phone
(702) 781-4800
Fax
(702) 664-6755
NPI assigned
Sep 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Rajiv Pradeep Amesur, DONPI 1538422183
Title
Medical Director/Owner
Phone
(702) 781-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1669 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89012-3516

Mailing address

3459 Saint Rose Pkwy Ste 120-481
Henderson, NV 89052-4601
Phone (702) 781-4800

National Provider Directory

National Provider Directory

Locations

3459 Saint Rose Pkwy
Ste 120481
Henderson, NV 89052

3459 Saint Rose Pkwy
#120481
Henderson, NV 89052

1669 W Horizon Ridge Pkwy
Henderson, NV 89012

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1225645682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 SAINT ROSE PKWY STE 120-481",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524601",
            "telephone_number": "702-781-4800",
            "fax_number": "702-664-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123516",
            "telephone_number": "702-781-4800",
            "fax_number": "702-664-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJIV P AMESUR DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "AMESUR",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_middle_name": "PRADEEP",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "702-781-4800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.