Individual provider Active NPI

Kartika S Shetty, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1467642272
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13602 Issued in NV
Practice address
7200 Cathedral Rock Dr Ste 180
Las Vegas, NV 89128-0466
Phone
(702) 824-7687
Fax
(702) 962-9544
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13602 NV Primary

Addresses

Primary practice location

7200 Cathedral Rock Dr Ste 180
Las Vegas, NV 89128-0466

Mailing address

7200 Cathedral Rock Dr Ste 180
Las Vegas, NV 89128-0466
Phone (702) 824-7687

Other practice location 1

2880 N Tenaya Way
Las Vegas, NV 89128-0618
Phone (702) 962-5633

Other identifiers 1

IdentifierTypeStateIssuer
100500484MedicaidNV

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
I20101011000459 NV Practitioner - Internal MedicinePractitioner - Hospitalist 6901098870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nevada School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nevada Acute Medical Services-Scherr 1 PCGroup PAC ID 6103101738, 68 clinicians
Dr Shetty PLLCGroup PAC ID 6204361330, 3 clinicians

Practice addresses (Care Compare)

1250 S Valley View Blvd
Las Vegas, NV 89102-1855
Phone (702) 877-8898

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 962-5000

7200 Cathedral Rock Dr
Suite 180
Las Vegas, NV 89128-0466
Phone (725) 877-9945

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13602NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Mar 1, 2020 Accepting new patients
Las Vegas Urology LLP CurrentSince Jul 21, 2024 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

7200 Cathedral Rock Dr
Ste 180
Las Vegas, NV 89128
Phone (702) 341-9000

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

Organizations & group practices 4

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1467642272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CATHEDRAL ROCK DR STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280466",
            "telephone_number": "702-824-7687",
            "fax_number": "702-962-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CATHEDRAL ROCK DR STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280466",
            "telephone_number": "702-824-7687",
            "fax_number": "702-962-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2880 N Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280618",
            "country_code": "US",
            "telephone_number": "702-962-5633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "KARTIKA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2024-07-11",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500484",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.