Tara Dayananda Rachakonda, M.D.

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

18066 Issued in NV

Practice address

5701 W Charleston Blvd Ste 105
Las Vegas, NV 89146-1256

Phone

(702) 877-9514

Fax

(702) 212-3569

NPI assigned

Jun 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Sleep MedicineAlso: Internal Medicine

Education

JS Weill Medical College, Cornell University, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rd Prabhu-Lata K Shete MDS LTDGroup PAC ID 8820994791, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

27.24 of 100Reported as group

Quality

10

Improvement activities

0

Cost

70.3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

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.

• Rd Prabhu-Lata K Shete MDS LTD

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1912995309
  Medicare reassignment Care Compare group NPD
• Rd Prabhu-Lata K Shete MDS LTD

  • Sleep Disorder Diagnostic Clinic/Center
  • Henderson, NV
  • NPI 1790144897
  NPD
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• De Craig Ranch, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1457895336
  NPD (past)
• De Craig Ranch, LLC

  • General Acute Care Hospital
  • North Las Vegas, NV
  • NPI 1578007514
  NPD (past)
• De Craig Ranch, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1740724780
  NPD (past)
• De Craig Ranch, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1922542968
  NPD (past)
• Desert Springs Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Desert View Regional Medical Center Holdings, LLC

  • Critical Access Hospital
  • Pahrump, NV
  • NPI 1073530168
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1528101284
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1508093345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461256",
            "telephone_number": "702-877-9514",
            "fax_number": "702-212-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W CHARLESTON BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461256",
            "telephone_number": "702-877-9514",
            "fax_number": "702-212-3569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 C St",
            "address_2": "Suite 1400",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958163300",
            "country_code": "US",
            "telephone_number": "916-734-1512",
            "fax_number": "916-442-5702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACHAKONDA",
        "first_name": "TARA",
        "middle_name": "DAYANANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A126245",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NV",
            "license": "18066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameka Danielle Raby
• John Racal
• Richard Anthony Racanelli, DMD
• Kristen Race, RD
• Yanetsy Racero Martinez
• Marcie Ann Rachal
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• Rache Clinic PLLC
• Rachel Ann Garcia
• Rachel Mason Plastic Surgery PLLC

• Sleep Medicine (Internal Medicine) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Sleep Medicine (Internal Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.