Active NPI
Anup Panduranga, M.D.
- Neurology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 22849
- Practice address
- 7751 W Flamingo Rd A100
Las Vegas, NV 89147-5401 - Phone
- (702) 804-6555
- Fax
- (702) 804-1222
- NPI assigned
- Jun 23, 2008
- Last updated
- Nov 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD161408 | OR | |
| Neurology Physician | 2084N0400X | 22849 | NV | Primary |
| Epilepsy Physician | 2084E0001X | 22849 | NV |
Addresses
Primary practice location
7751 W Flamingo Rd A100
Las Vegas, NV 89147-5401
Mailing address
7751 W Flamingo Rd A100
Las Vegas, NV 89147-5401
Phone (702) 450-8485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- New York Medical College, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7751 W Flamingo Rd
Suite A100
Las Vegas, NV 89147-4399
Phone (702) 804-6555
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22849 | NV | MD | Epilepsy Physician |
| MD161408 | OR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Healthcare | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Innotiv Germin | Neurology | Current | Accepting new patients |
| Tuality Healthcare | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Tuality Medical Group LLC | Neurology | Current | Accepting new patients |
| Desert Springs Hospital | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients |
Locations
1691 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 804-1212
1691 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 450-8485
7751 W Flamingo Rd
Ste A100
Las Vegas, NV 89147
Phone (702) 804-6555
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
364 SE 8th Ave
Ste 101
Hillsboro, OR 97123
Phone (503) 681-0816
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFCIAA/Endpoint/EFCIAA
Organizations & group practices 15
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.
-
dba Clinical Neurology Specialists West
- Neurology Physician
- Las Vegas, NV
- NPI 1265507271
-
dba Hillsboro Medical Center
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
dba Hillsboro Medical Center Women's Health Clinic
- Clinic/Center
- Hillsboro, OR
- NPI 1023130978
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
dba THC Based Physicians
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1336228659
-
dba Hillsboro Medical Center Neurology Clinic
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
-
dba OHSU Home Infusion Pharmacy
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
dba OHSU Avel Gordly Center for Healing
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, OR
- NPI 1316354970
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1316108202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7751 W FLAMINGO RD A100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891475401",
"telephone_number": "702-450-8485",
"fax_number": "702-804-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7751 W FLAMINGO RD A100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891475401",
"telephone_number": "702-804-6555",
"fax_number": "702-804-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDURANGA",
"first_name": "ANUP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "MD161408",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NV",
"license": "22849",
"primary": true
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "NV",
"license": "22849",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.