Individual provider Active NPI

Renu S Mahajan, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1609809607
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14636 Issued in NV
Practice address
8970 W Tropicana Ave Ste 6
Las Vegas, NV 89147-8137
Phone
(702) 473-5333
Fax
(702) 473-5444
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14636 NV Primary

Addresses

Primary practice location

8970 W Tropicana Ave Ste 6
Las Vegas, NV 89147-8137

Mailing address

8970 W Tropicana Ave Ste 6
Las Vegas, NV 89147-8137
Phone (702) 473-5333

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
I20131023000236 NV Practitioner - Internal Medicine 0840363883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chander PLLCGroup PAC ID 3375789498, 4 clinicians

Practice addresses (Care Compare)

8970 W Tropicana Ave
Suite 6
Las Vegas, NV 89147-8137
Phone (702) 473-5333

Hospital & facility affiliations

  • Palmeira Home Healthcare Home health agency, Las Vegas, NV, CCN 297112
  • Care First Home Health Care Home health agency, Las Vegas, NV, CCN 297143

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chander PLLC Internal Medicine CurrentSince Oct 10, 2013 Accepting new patients

Locations

8970 W Tropicana Ave
Ste 2
Las Vegas, NV 89147

8970 W Tropicana Ave
Ste 6
Las Vegas, NV 89147
Phone (702) 473-5333

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1609809607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8970 W TROPICANA AVE STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478137",
            "telephone_number": "702-473-5333",
            "fax_number": "702-473-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8970 W TROPICANA AVE STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478137",
            "telephone_number": "702-473-5333",
            "fax_number": "702-473-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "RENU",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "14636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.