Organization Active NPI

Pankaj K Bhatnagar MD PC

Doing business as Advanced Laparoscopic and General Surgery of Nevada

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1255515672
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12469 Issued in NV
Legal business name
PANKAJ K BHATNAGAR MD PC
Doing business as
Advanced Laparoscopic and General Surgery of Nevada
Practice address
6850 N Durango Dr
Ste 204
Las Vegas, NV 89149-4596
Phone
(702) 791-7855
Fax
(702) 791-7859
NPI assigned
Dec 20, 2007
Last updated
Apr 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Pankaj K Bhatnagar, MDNPI 1417929175
Title
Owner/President
Phone
(702) 791-7855

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
Surgery Physician 208600000X 12469 NV Primary

Addresses

Primary practice location

6850 N Durango Dr
Ste 204
Las Vegas, NV 89149-4596

Mailing address

PO Box 35197
Las Vegas, NV 89133-5197
Phone (702) 791-7855

Other identifiers 3

IdentifierTypeStateIssuer
V105785OtherNVMEDICARE PTAN IND
V105784OtherNVMEDICARE PTAN GROUP
1417929175MedicaidNV

Other names 1

  • Advanced Laparoscopic and General Surgery of Nevada Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080506000105 NV Part B Supplier - Clinic/Group Practice 7113002098 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6240 N Durango Dr
Las Vegas, NV 89149

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1255515672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35197",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335197",
            "telephone_number": "702-791-7855",
            "fax_number": "702-791-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR",
            "address_2": "STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494596",
            "telephone_number": "702-791-7855",
            "fax_number": "702-791-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANKAJ K BHATNAGAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "BHATNAGAR",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "702-791-7855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "12469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN IND",
            "identifier": "V105785",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GROUP",
            "identifier": "V105784",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417929175",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Laparoscopic and General Surgery of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.