NPIMap

Individual provider Active NPI

Anita Gondy, M.D.

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1417940032
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7945 Issued in NV
Practice address
2800 N Tenaya Way Ste 203
Las Vegas, NV 89128-1100
Phone
(702) 978-8900
Fax
(702) 978-7617
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7945 NV Primary

Addresses

Primary practice location

2800 N Tenaya Way Ste 203
Las Vegas, NV 89128-1100

Mailing address

2011 Pinto LN Ste 103
Las Vegas, NV 89106-4005
Phone (702) 978-7617

Other practice location 1

2011 Pinto Ln Ste 103
Las Vegas, NV 89106-4005
Phone (702) 978-8900

Other identifiers 1

IdentifierTypeStateIssuer
880400613OtherNVOB-GYN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927001286 NV Practitioner - Obstetrics/Gynecology 7618878844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Iriye Medical Group PLLCGroup PAC ID 2163415910, 61 clinicians

Practice addresses (Care Compare)

2011 Pinto LN
Suite 200
Las Vegas, NV 89106-4007
Phone (702) 382-3200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iriye Medical Group PLLC CurrentSince Jun 1, 2023 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Mark C Handelman MD LTD Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

2011 Pinto Ln
Ste 103
Las Vegas, NV 89106
Phone (702) 463-2981

2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200

2800 N Tenaya Way
Ste 203
Las Vegas, NV 89128
Phone (702) 367-6370

9970 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 978-8900

7160 Smoke Ranch Rd
Las Vegas, NV 89128
Phone (702) 508-4096

Interoperability endpoints

  • Direct secure messaging: anita.gondy.1@27017.direct.athenahealth.com

Organizations & group practices 9

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.

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1417940032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 PINTO LN STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064005",
            "telephone_number": "702-978-7617",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N TENAYA WAY STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281100",
            "telephone_number": "702-978-8900",
            "fax_number": "702-978-7617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Pinto Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064005",
            "country_code": "US",
            "telephone_number": "702-978-8900",
            "fax_number": "702-978-7617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONDY",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "7945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OB-GYN",
            "identifier": "880400613",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.