Active NPI
Pankaj K Bhatnagar, MD
- Surgery Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 12469
- Practice address
- 202 S Royal Ascot Dr
Las Vegas, NV 89144-4310 - Phone
- (702) 569-0965
- NPI assigned
- Feb 6, 2006
- Last updated
- Nov 12, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036104967 | IL | |
| Surgery Physician | 208600000X | 12469 | NV | Primary |
Addresses
Primary practice location
202 S Royal Ascot Dr
Las Vegas, NV 89144-4310
Mailing address
202 S Royal Ascot Dr
Las Vegas, NV 89144-4310
Phone (702) 569-0965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417929175 | 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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 42.76 of 100
- Quality
- 20
- Improvement activities
- 0
- Cost
- 82.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036104967 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pankaj K Bhatnagar MD PC | Surgery | Current | Accepting new patients |
| Surgical Wound Care | Surgery | Current | Accepting new patients |
| Okemefuna Okpara MD, PLLC | Surgery | Current | Accepting new patients |
| Minghsun Liu MD PC | Surgery | Current | Accepting new patients |
| Freeport Memorial Hospital | Past | Accepting new patients |
Locations
25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321
2621 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 308-5534
3150 N Tenaya Way
Ste 215
Las Vegas, NV 89128
Phone (702) 293-5036
6240 N Durango Dr
Ste 120
Las Vegas, NV 89149
Phone (702) 202-3431
6671 Las Vegas Blvd S
Unit 210
Las Vegas, NV 89119
Phone (702) 482-8892
6850 N Durango Dr
Ste 204
Las Vegas, NV 89149
Phone (702) 791-7855
2031 McDaniel St
Ste 130
North Las Vegas, NV 89030
Phone (702) 638-7705
Organizations & group practices 5
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.
-
dba Advanced Laparoscopic and General Surgery of Nevada
- Surgery Physician
- Las Vegas, NV
- NPI 1255515672
-
dba Woundtech of Nevada
- Infectious Disease Physician
- Henderson, NV
- NPI 1982002283
Surgery
-
dba Omni Wound Physicians Nevada
- Surgery Physician
- Las Vegas, NV
- NPI 1588467435
-
- Surgery Physician
- Las Vegas, NV
- NPI 1558223586
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1417929175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S ROYAL ASCOT DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891444310",
"telephone_number": "702-569-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S ROYAL ASCOT DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891444310",
"telephone_number": "702-569-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHATNAGAR",
"first_name": "PANKAJ",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036104967",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "12469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417929175",
"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 Nov 12, 2025; 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.
- 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.