Individual provider Active NPI

Susan Reiko Hirata, MD

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1548424583
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13593 Issued in NV
Practice address
3196 S Maryland Pkwy Ste 208
Las Vegas, NV 89109-2313
Phone
(702) 796-1820
Fax
(702) 796-3938
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 13593 NV Primary

Addresses

Primary practice location

3196 S Maryland Pkwy Ste 208
Las Vegas, NV 89109-2313

Mailing address

3196 S Maryland Pkwy Ste 208
Las Vegas, NV 89109-2313
Phone (702) 796-1820

Other identifiers 1

IdentifierTypeStateIssuer
100520286MedicaidNV

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13593NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hirata Pediatrics LLC Pediatrics Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1548424583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092313",
            "telephone_number": "702-796-1820",
            "fax_number": "702-796-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092313",
            "telephone_number": "702-796-1820",
            "fax_number": "702-796-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRATA",
        "first_name": "SUSAN",
        "middle_name": "REIKO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "13593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100520286",
            "state": "NV"
        }
    ],
    "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 Jul 29, 2026; 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.