Individual provider Active NPI

Thanapath D Thantacheva, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Las Vegas, NV
National Provider Identifier
1326624834
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
DO3889 Issued in NV
Practice address
1617 E Windmill LN Ste 300
Las Vegas, NV 89123-1933
Phone
(702) 960-4150
Fax
(702) 960-4154
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X DO3889 NV Primary

Addresses

Primary practice location

1617 E Windmill LN Ste 300
Las Vegas, NV 89123-1933

Mailing address

3820 S Hualapai Way Ste 200
Las Vegas, NV 89147-5734
Phone (702) 960-4150

Other practice location 1

3820 S Hualapai Way Ste 200
Las Vegas, NV 89147-5734
Phone (702) 960-4150

Other practice location 2

3100 N Tenaya Way
Las Vegas, NV 89128-0442
Phone (702) 962-5000

Other practice location 3

7425 W Azure Dr Ste 150
Las Vegas, NV 89130-4425
Phone (702) 960-4150

Other practice location 4

1815 E Lake Mead Blvd Ste 300
N Las Vegas, NV 89030-7193
Phone (702) 960-4150

Other names 1

  • David Thantacheva Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260626002824 NV Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 8022411461

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3820 S Hualapai Way
Suite 200
Las Vegas, NV 89147-5734

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luis Velazquez MD PLLC Pain Medicine CurrentSince Aug 3, 2026 Accepting new patients

Locations

3820 S Hualapai Way
Ste 200
Las Vegas, NV 89147
Phone (702) 796-0231

1617 E Windmill Ln
Ste 300
Las Vegas, NV 89123
Phone (702) 960-4083

1815 E Lake Mead Blvd
Ste 300
North Las Vegas, NV 89030
Phone (702) 642-0441

1815 E Lake Mead Blvd
Ste 307
North Las Vegas, NV 89030
Phone (702) 838-9710

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBEDAD
  • Direct secure messaging: thanapath.thantacheva@hca3.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1326624834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 S HUALAPAI WAY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475734",
            "telephone_number": "702-960-4150",
            "fax_number": "702-960-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E WINDMILL LN STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231933",
            "telephone_number": "702-960-4150",
            "fax_number": "702-960-4154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 S Hualapai Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891475734",
            "country_code": "US",
            "telephone_number": "702-960-4150",
            "fax_number": "702-960-4154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 N Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280442",
            "country_code": "US",
            "telephone_number": "702-962-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7425 W Azure Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891304425",
            "country_code": "US",
            "telephone_number": "702-960-4150",
            "fax_number": "702-960-4154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1815 E Lake Mead Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "890307193",
            "country_code": "US",
            "telephone_number": "702-960-4150",
            "fax_number": "702-960-4154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THANTACHEVA",
        "first_name": "THANAPATH",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NV",
            "license": "DO3889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "THANTACHEVA",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.