Organization Active NPI

Kidney Dialysis and Hypertension Specialists

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1467728097
Registry record updated Jan 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13114 Issued in NV
Legal business name
KIDNEY DIALYSIS AND HYPERTENSION SPECIALISTS
Practice address
7908 W Sahara Ave
Las Vegas, NV 89117-1990
Phone
(702) 600-8086
Fax
(866) 606-0690
NPI assigned
Mar 28, 2012
Last updated
Jan 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2020

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

Authorized official

Name
Dr. Luana Pillon, M.D.NPI 1679567309
Title
President
Phone
(646) 285-8836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 13114 NV Primary

Addresses

Primary practice location

7908 W Sahara Ave
Las Vegas, NV 89117-1990

Mailing address

PO Box 370494
Las Vegas, NV 89137-0494
Phone (646) 285-8836

Other practice location 1

2482 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-2726
Phone (702) 600-8086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120628000335 NV Part B Supplier - Clinic/Group Practice 4284899063 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2482 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 614-6868

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578096000000",
    "number": "1467728097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370494",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891370494",
            "telephone_number": "646-285-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7908 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171990",
            "telephone_number": "702-600-8086",
            "fax_number": "866-606-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2482 W Horizon Ridge Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890522726",
            "country_code": "US",
            "telephone_number": "702-600-8086",
            "fax_number": "866-606-0690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDNEY DIALYSIS AND HYPERTENSION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A",
        "authorized_official_last_name": "PILLON",
        "authorized_official_first_name": "LUANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-285-8836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "13114",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.