Individual provider Active NPI

Neelesh Thussu, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1477906972
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24958 Issued in NV
Practice address
1215 S Fort Apache Rd Ste 230
Las Vegas, NV 89117-5491
Phone
(725) 220-3890
NPI assigned
Jul 20, 2016
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0100417 MD
Internal Medicine Physician 207R00000X 24958 NV Primary

Addresses

Primary practice location

1215 S Fort Apache Rd Ste 230
Las Vegas, NV 89117-5491

Mailing address

1215 S Fort Apache Rd Ste 230
Las Vegas, NV 89117-5491
Phone (725) 220-3890

Other practice location 1

1 Park Pl Ste 325
Annapolis, MD 21401-3475
Phone (410) 995-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0100417MDMDInternal Medicine Physician
24958NVMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1477906972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S FORT APACHE RD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175491",
            "telephone_number": "725-220-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S FORT APACHE RD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175491",
            "telephone_number": "725-220-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Park Pl Ste 325",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013475",
            "country_code": "US",
            "telephone_number": "410-995-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THUSSU",
        "first_name": "NEELESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0100417",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "24958",
            "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 Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.