Individual provider Active NPI

Pankaj K Bhatnagar, MD

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1417929175
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12469 Issued in NV
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1417929175MedicaidNV

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
I20080424000578 NV Practitioner - General Surgery 4385724939 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
42.76 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
82.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036104967ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pankaj K Bhatnagar MD PC Surgery CurrentSince Jan 1, 2008 Accepting new patients
Surgical Wound Care Surgery CurrentSince Nov 30, 2025 Accepting new patients
Okemefuna Okpara MD, PLLC Surgery CurrentSince Aug 25, 2025 Accepting new patients
Minghsun Liu MD PC Surgery CurrentSince Feb 5, 2015 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.

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

Verify at the official NPI Registry.