Chemanthi Rochelle Kalen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17850 Issued in NV

Practice address

2435 Fire Mesa St Ste 120
Las Vegas, NV 89128-9009

Phone

(725) 200-3232

NPI assigned

Apr 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Chemanthi Rochelle Ediriweera Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1568950855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 FIRE MESA ST STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289009",
            "telephone_number": "725-200-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 FIRE MESA ST STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289009",
            "telephone_number": "725-200-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEN",
        "first_name": "CHEMANTHI",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "17850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEMANTHI",
            "last_name": "EDIRIWEERA",
            "middle_name": "ROCHELLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.