NPIMap

Organization Active NPI

Nkdhc Rudnitsky PLLC

Doing business as Nkdhc, PLLC

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1265831432
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NKDHC RUDNITSKY PLLC
Doing business as
Nkdhc, PLLC
Practice address
2545 S Bruce St Ste 200
Las Vegas, NV 89169-1731
Phone
(702) 732-2438
Fax
(702) 737-5043
NPI assigned
Aug 14, 2014
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Benjamin Rudnitsky, MDNPI 1619958113
Title
Owner
Phone
(702) 853-0090

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary
Vascular Surgery Physician 2086S0129X

Addresses

Primary practice location

2545 S Bruce St Ste 200
Las Vegas, NV 89169-1731

Mailing address

2545 S Bruce St Ste 200
Las Vegas, NV 89169-1731
Phone (702) 732-2438

Other practice location 1

1051 Wellness Pl Ste 140
Henderson, NV 89011-2376
Phone (702) 289-4037

Other practice location 2

861 Coronado Center Dr Ste 120
Henderson, NV 89052-3992
Phone (702) 726-6344

Other practice location 3

2450 Fire Mesa St Ste 110
Las Vegas, NV 89128-9034
Phone (702) 853-0090

Other practice location 4

1581 Mount Mariah Dr Ste 150
Las Vegas, NV 89106-1506
Phone (702) 851-7766

Other practice location 5

5815 S Rainbow Blvd Ste 110
Las Vegas, NV 89118-2553
Phone (702) 588-7077

Other identifiers 1

IdentifierTypeStateIssuer
1265831432MedicaidNV

Other names 1

  • NKDHC, PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141021002605 NV Part B Supplier - Clinic/Group Practice 1557582210 Receives reassigned benefits from 48 practitioners
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
Nkdhc Rudnitsky PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1051 Wellness Pl
Ste 140
Henderson, NV 89011
Phone (702) 289-4037

3051 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 640-5443

3051 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 726-6344

861 Coronado Center Dr
Ste 120
Henderson, NV 89052
Phone (702) 726-6344

1581 Mount Mariah Dr
Ste 150
Las Vegas, NV 89106
Phone (702) 851-7766

2425 N Lamb Blvd
Ste 120
Las Vegas, NV 89115
Phone (702) 851-7766

2450 Fire Mesa St
Ste 110
Las Vegas, NV 89128
Phone (702) 853-0090

5815 S Rainbow Blvd
#110
Las Vegas, NV 89118
Phone (702) 588-7077

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1265831432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 S BRUCE ST STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891691731",
            "telephone_number": "702-732-2438",
            "fax_number": "702-737-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 S BRUCE ST STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891691731",
            "telephone_number": "702-732-2438",
            "fax_number": "702-737-5043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Wellness Pl Ste 140",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890112376",
            "country_code": "US",
            "telephone_number": "702-289-4037",
            "fax_number": "725-205-3833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "861 Coronado Center Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523992",
            "country_code": "US",
            "telephone_number": "702-726-6344",
            "fax_number": "702-726-5828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Fire Mesa St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891289034",
            "country_code": "US",
            "telephone_number": "702-853-0090",
            "fax_number": "702-853-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1581 Mount Mariah Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891061506",
            "country_code": "US",
            "telephone_number": "702-851-7766",
            "fax_number": "702-851-7760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5815 S Rainbow Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891182553",
            "country_code": "US",
            "telephone_number": "702-588-7077",
            "fax_number": "702-588-7079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NKDHC RUDNITSKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "RUDNITSKY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-853-0090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265831432",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NKDHC, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NKDHC, PLLC",
            "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 Mar 22, 2024; 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.