Individual provider Active NPI

Deepak Kumar Nandikanti, MD

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1548499973
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
14977 Issued in NV
Practice address
1294 S Jones Blvd
Las Vegas, NV 89146
Phone
(702) 877-1887
Fax
(702) 877-4536
NPI assigned
Jul 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 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 E-7958 AR
Nephrology Physician 207RN0300X 14977 NV Primary

Addresses

Primary practice location

1294 S Jones Blvd
Las Vegas, NV 89146

Mailing address

1294 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 877-1887

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
I20141008000404 NV Practitioner - NephrologyPractitioner - Internal Medicine 8224274741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8775 Deer Springs Way
Las Vegas, NV 89149-0416
Phone (702) 877-1887

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Endocrine Associates Inc Nephrology CurrentSince Oct 1, 2014 Accepting new patients
Nephrology & Endocrine Associates Inc CurrentSince Oct 1, 2014 Accepting new patients
Dignity Health Past Accepting new patients

Locations

2401 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 385-7001

100 N Green Valley Pkwy
Ste 310
Henderson, NV 89074
Phone (702) 565-6565

2401 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 221-7001

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

1294 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 877-1877

9280 W Sunset Rd
Ste 438
Las Vegas, NV 89148

7326 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129
Phone (702) 258-0078

8775 Deer Springs Way
Las Vegas, NV 89149
Phone (702) 395-2488

500 S Rancho Dr
Ste 12
Las Vegas, NV 89106
Phone (702) 877-1877

2065 N Las Vegas Blvd
North Las Vegas, NV 89030
Phone (702) 639-0469

330 S Lola Ln
Ste 200
Pahrump, NV 89048
Phone (775) 751-7100

Interoperability endpoints

  • Direct secure messaging: deepak.nandikanti@direct.davitaphysiciansolutions.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dnandikanti18678@direct.umcsn.com

Organizations & group practices 3

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 2

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": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1548499973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDIKANTI",
        "first_name": "DEEPAK",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-7958",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "14977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.