Individual provider Active NPI

Ramanathan Muthaiah, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1356367734
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9823 Issued in NV
Practice address
5061 N Rainbow Blvd Ste 180
Las Vegas, NV 89130-1689
Phone
(702) 220-8001
Fax
(702) 395-4500
NPI assigned
Jul 15, 2006
Last updated
Apr 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9823 NV Primary

Addresses

Primary practice location

5061 N Rainbow Blvd Ste 180
Las Vegas, NV 89130-1689

Mailing address

5061 N Rainbow Blvd Ste 180
Las Vegas, NV 89130-1689
Phone (702) 220-8001

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
I20040211000747 NV Practitioner - Internal Medicine 4688568561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5061 N Rainbow Blvd
Suite 180
Las Vegas, NV 89130-1689
Phone (702) 401-4483

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9823NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
R Muthaiah MD PC Internal Medicine CurrentSince Aug 10, 2005 Accepting new patients
Desert Springs Hospital Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

5061 N Rainbow Blvd
Ste 180
Las Vegas, NV 89130
Phone (702) 220-8001

Organizations & group practices 9

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1356367734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 N RAINBOW BLVD STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301689",
            "telephone_number": "702-220-8001",
            "fax_number": "702-395-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 N RAINBOW BLVD STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301689",
            "telephone_number": "702-220-8001",
            "fax_number": "702-395-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHAIAH",
        "first_name": "RAMANATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.