NPIMap

Individual provider Active NPI

Shivesh Sri Kumar, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1235373564
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14464 Issued in NV
Practice address
6090 S Fort Apache Rd Ste 140
Las Vegas, NV 89148-5618
Phone
(725) 735-5407
NPI assigned
Apr 30, 2009
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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 14464 NV Primary

Addresses

Primary practice location

6090 S Fort Apache Rd Ste 140
Las Vegas, NV 89148-5618

Mailing address

6090 S Fort Apache Rd Ste 140
Las Vegas, NV 89148-5618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120907000533 NV Practitioner - Family Practice 0244488716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Physicians Kumar PLLCGroup PAC ID 3577893965, 37 clinicians

Practice addresses (Care Compare)

2865 Siena Heights Dr
Suite 140
Henderson, NV 89052-4168
Phone (702) 202-0534

6090 S Fort Apache Rd
Suite 140
Las Vegas, NV 89148-5618
Phone (702) 202-0534

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Physicians (Kumar) PLLC Family Medicine CurrentSince Mar 28, 2018 Accepting new patients
Reliant Physicians (Kumar) PLLC CurrentSince Sep 24, 2023 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Pam Squared at Las Vegas, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Naz Wahab MD PC Family Medicine PastSince Aug 1, 2021 Accepting new patients

Locations

2865 Siena Heights Dr
Ste 140
Henderson, NV 89052
Phone (702) 202-0534

1140 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

1180 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

6090 S Fort Apache Rd
Ste 140
Las Vegas, NV 89148
Phone (702) 202-0534

8425 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 202-2060

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1235373564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 S FORT APACHE RD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 S FORT APACHE RD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485618",
            "telephone_number": "725-735-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "SHIVESH",
        "middle_name": "SRI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "14464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.