Ajay K. Nellutla, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

10766 Issued in NV

Practice address

1700 E Desert Inn Rd Ste 301
Las Vegas, NV 89169

Phone

(702) 649-8009

Fax

(702) 649-8049

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 1995

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)

Hospital & facility affiliations

• Emerald Home Health Care, LLC Home health agency, Las Vegas, NV, CCN 297245
• Saint Dominic Home Health Care Inc Home health agency, North Las Vegas, NV, CCN 297194
• Optimum Health Care, LLC Home health agency, Las Vegas, NV, CCN 297121
• Nevada Prime Hospice Hospice, Las Vegas, NV, CCN 291654
• Globalcare Health Services LLC Hospice, Las Vegas, NV, CCN 291613
• Reverent Hospice Care Inc Hospice, Henderson, NV, CCN 291682
• Blue Heights Hospice, LLC Hospice, N Las Vegas, NV, CCN 291653
• Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• KFCM Ventures, LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1306571443

  Contracted Managing Employee

  CMS ownership

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.

• Dr Ajay Nellutla Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1356596134
  Medicare reassignment NPD Authorized official
• Eid Nevada Critical Care PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1962712828
  Medicare reassignment Care Compare group NPD
• Nevada Acute Medical Services-Scherr 1 PC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1992244438
  Medicare reassignment NPD
• Shivay Saran International Chartered

  • Internal Medicine Physician
  • N Las Vegas, NV
  • NPI 1811041841
  NPD (past)
• Sunrise Hospital and Medical Center, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952
  NPD (past)
• V Ranga MD LTD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1770635153
  NPD (past)

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

• Arc Holdings NV LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1306885710
  Care Compare affiliation
• Blue Heights Hospice LLC

  • Community Based Hospice Care Agency
  • North Las Vegas, NV
  • NPI 1457972101
  Care Compare affiliation
• Emerald Home Health Care LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1588115844
  Care Compare affiliation
• Globalcare Health Services LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1831854918
  Care Compare affiliation
• KFCM Ventures, LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1306571443
  Care Compare affiliation
• Reverent Hospice Care Inc

  • Community Based Hospice Care Agency
  • Henderson, NV
  • NPI 1699469247
  Care Compare affiliation
• Saint Dominic Home Health Care Inc.

  • Home Health Agency
  • North Las Vegas, NV
  • NPI 1700172038
  Care Compare affiliation
• Sunrise Hospital and Medical Center, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952
  Care Compare affiliation

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1407913718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E DESERT INN RD STE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693207",
            "telephone_number": "702-649-8009",
            "fax_number": "702-649-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E DESERT INN RD STE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89169",
            "telephone_number": "702-649-8009",
            "fax_number": "702-649-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLUTLA",
        "first_name": "AJAY",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "10766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407913718",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nellis Care Pharmacy Inc
• Nellis Chiropractic, Inc.
• Nellis Home Health
• Nellis Home Health
• Gabriella Marie Nellis, RBT
• Dejahnae Lanae Nelms
• Todd Nelms
• Alyse Nelsen, DO
• Joshua Nelsen, PMHNP-BC
• Gloria Nelson Larrimore, LMT, MMP

• Geriatric Medicine (Internal Medicine) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Geriatric Medicine (Internal Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.