Individual provider Active NPI

Anuradha Thirumalai, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1306217534
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002029 Issued in NV
Practice address
3230 S Buffalo Dr Ste 104
Integrated Medical Group
Las Vegas, NV 89117-2506
Phone
(702) 997-5588
NPI assigned
Oct 14, 2015
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN002029 NV Primary

Addresses

Primary practice location

3230 S Buffalo Dr Ste 104
Integrated Medical Group
Las Vegas, NV 89117-2506

Mailing address

268 Lazy Posey CT
Las Vegas, NV 89106-3982
Phone (702) 671-4103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180201001561 NV Practitioner - Nurse Practitioner 6507126042 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shanker Dixit MD PCGroup PAC ID 0143315721, 3 clinicians
Healthnomic Partners LLCGroup PAC ID 7315342094, 22 clinicians

Practice addresses (Care Compare)

2480 Professional CT
Las Vegas, NV 89128-0835
Phone (702) 405-7100

701 Shadow LN
Suite 170
Las Vegas, NV 89106-4178
Phone (702) 387-1757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shanker Dixit, MD PC Neurology CurrentSince Oct 1, 2021 Accepting new patients
Healthnomic Partners LLC Neurology CurrentSince Apr 3, 2023 Accepting new patients
Malone-Davis Neurology PLLC Neurology CurrentSince Jul 5, 2022 Accepting new patients
Integrated Medical Group Inc Past Accepting new patients

Locations

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2435 Fire Mesa St
Las Vegas, NV 89128
Phone (702) 204-4947

2480 Professional Ct
Las Vegas, NV 89128
Phone (702) 405-3015

701 Shadow Ln
Ste 170
Las Vegas, NV 89106
Phone (702) 254-7634

7730 W Cheyenne Ave
Ste 107
Las Vegas, NV 89129
Phone (702) 240-8646

8020 S Rainbow Blvd
Ste 100
Las Vegas, NV 89139
Phone (432) 210-8950

8379 W Sunset Rd
Ste 210
Las Vegas, NV 89113

8440 S Eastern Ave
Ste A
Las Vegas, NV 89123
Phone (702) 269-0204

Interoperability endpoints

  • Direct secure messaging: anuradhathirumalai@sh.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFABBD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1306217534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 LAZY POSEY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063982",
            "telephone_number": "702-671-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 S BUFFALO DR STE 104",
            "address_2": "INTEGRATED MEDICAL GROUP",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172506",
            "telephone_number": "702-997-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRUMALAI",
        "first_name": "ANURADHA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.