Individual provider Active NPI

Anup Panduranga, M.D.

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1316108202
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
22849 Issued in NV
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130614000288 OR Practitioner - Neurology 2365696697 Reassigns benefits to 3 organizations
I20221123002037 NV Practitioner - Neurology 2365696697 Reassigns benefits to 2 organizations

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
Germin Clinical Neurology WestGroup PAC ID 7810090784, 5 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22849NVMDEpilepsy Physician
MD161408ORMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare CurrentSince Dec 4, 2017 Accepting new patients
University Professional Services CurrentSince Jan 30, 2017 Accepting new patients
Tuality Healthcare CurrentSince Dec 4, 2017 Accepting new patients
Tuality Medical Group LLC CurrentSince Jul 1, 2014 Accepting new patients
Innotiv Germin Neurology CurrentSince Nov 14, 2022 Accepting new patients
Tuality Healthcare Current Accepting new patients
University Professional Services CurrentSince Jan 30, 2017 Accepting new patients
Tuality Healthcare Current Accepting new patients
University Professional Services Current Accepting new patients
Tuality Medical Group LLC Neurology CurrentSince Jul 1, 2014 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

  • FHIR API: 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.

View all 15

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

Verify at the official NPI Registry.