Individual provider Active NPI

Semmalar Rajamani, APRN

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1386274728
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
828576 Issued in NV
Practice address
6088 S Durango Dr Ste 100
Las Vegas, NV 89113-1780
Phone
(702) 380-4242
Fax
(702) 380-4141
NPI assigned
Jan 24, 2020
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 828576 NV Primary

Addresses

Primary practice location

6088 S Durango Dr Ste 100
Las Vegas, NV 89113-1780

Mailing address

6088 S Durango Dr Ste 100
Las Vegas, NV 89113-1780
Phone (702) 380-4242

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Henderson Health Information Exchange (HIE)

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
I20200501001151 NV Practitioner - Nurse Practitioner 7416387600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eid Nevada Critical Care PLLCGroup PAC ID 9537357793, 62 clinicians

Practice addresses (Care Compare)

6040 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-5613
Phone (702) 476-4900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
828576NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Associates Infectious Disease CurrentSince Apr 14, 2020 Accepting new patients
Eid Nevada Critical Care PLLC CurrentSince Jan 1, 2024 Accepting new patients
Infections Limited Infectious Disease PastSince Jan 26, 2020 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1801 W Olympic Blvd
#1270
Pasadena, CA 91199

1730 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 203-7799

1450 W Horizon Ridge Pkwy
Ste B304
Henderson, NV 89012

6088 S Durango Dr
Ste D100
Las Vegas, NV 89113
Phone (702) 380-4242

6088 S Durango Dr
Ste 100
Las Vegas, NV 89113
Phone (702) 209-0388

6040 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 475-4007

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1386274728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6088 S DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131780",
            "telephone_number": "702-380-4242",
            "fax_number": "702-380-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6088 S DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131780",
            "telephone_number": "702-380-4242",
            "fax_number": "702-380-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAMANI",
        "first_name": "SEMMALAR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "828576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Henderson",
            "affiliation": "N",
            "endpointDescription": "Via electronic charting Intergy EHR System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "for provider's secure communication, charting, and sharing information",
            "address_1": "6088 S Durango Dr Ste 100",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891131780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.