Active NPI
Praveen Saran, M.D., MPH
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1407077803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9683
- Practice address
- 7010 Smoke Ranch Rd
Ste. 120
Las Vegas, NV 89128-3123 - Phone
- (702) 633-6006
- Fax
- (702) 633-9110
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9683 | NV | Primary |
Addresses
Primary practice location
7010 Smoke Ranch Rd
Ste. 120
Las Vegas, NV 89128-3123
Mailing address
7529 Belgian Lion St
Las Vegas, NV 89139-5302
Phone (702) 633-6006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002018136 | Medicaid | NV |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Residential Services LLC | Current | Accepting new patients | |
| Shivay Saran International Chartered | Internal Medicine | Past | Accepting new patients |
| Lionheart Recovery Center, Inc. | Past | Accepting new patients |
Locations
2121 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 382-7746
Organizations & group practices 3
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.
-
- Substance Abuse Rehabilitation Facility
- Las Vegas, NV
- NPI 1790253060
-
- Internal Medicine Physician
- N Las Vegas, NV
- NPI 1811041841
-
- Substance Abuse Rehabilitation Facility
- Las Vegas, NV
- NPI 1740871243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1407077803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7529 BELGIAN LION ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891395302",
"telephone_number": "702-633-6006",
"fax_number": "702-633-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7010 SMOKE RANCH RD",
"address_2": "STE. 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891283123",
"telephone_number": "702-633-6006",
"fax_number": "702-633-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARAN",
"first_name": "PRAVEEN",
"name_prefix": "Dr.",
"credential": "M.D., MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "9683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002018136",
"state": "NV"
}
],
"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 Jul 23, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.