NPIMap

Individual provider Active NPI

Gopalakrishna Iyengar Leela, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1609859305
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11458 Issued in NV
Practice address
3416 N Buffalo Dr
Las Vegas, NV 89129-7424
Phone
(702) 341-6699
Fax
(702) 341-6968
NPI assigned
Nov 28, 2005
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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 11458 NV Primary

Addresses

Primary practice location

3416 N Buffalo Dr
Las Vegas, NV 89129-7424

Mailing address

3022 S Durango Dr
Suite 100
Las Vegas, NV 89117-4439
Phone (702) 256-3637

Other identifiers 1

IdentifierTypeStateIssuer
100506959MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000203 NV Practitioner - Internal Medicine 2163448127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prasad-Leela LLCGroup PAC ID 5890711907, 2 clinicians

Practice addresses (Care Compare)

3416 N Buffalo Dr
Las Vegas, NV 89129-7424
Phone (702) 341-6699

5110 W Sahara Ave
Las Vegas, NV 89146-3406
Phone (702) 341-6699

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11458NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trusted Primary Care CurrentSince Sep 29, 2018 Accepting new patients
Prasad-Leela LLC Internal Medicine CurrentSince Jun 4, 2004 Accepting new patients
Nathan Adelson Hospice Inc CurrentSince Sep 29, 2018 Accepting new patients
The Heights of Summerlin, LLC Past Accepting new patients
El Jen SNF Operations LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Marquis Companies II, Inc Past Accepting new patients

Locations

3022 S Durango Dr
Ste 100
Las Vegas, NV 89117
Phone (702) 210-9423

3150 N Tenaya Way
Ste 350
Las Vegas, NV 89128
Phone (702) 243-6400

3416 N Buffalo Dr
Las Vegas, NV 89129
Phone (702) 343-7610

4131 University Center Dr
Las Vegas, NV 89119
Phone (702) 796-3112

4141 University Center Dr
Las Vegas, NV 89119
Phone (702) 796-3162

5110 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 352-9260

7106 Smoke Ranch Rd
Ste 120
Las Vegas, NV 89128
Phone (702) 565-4917

2270 Commercial Dr
Ste B
Pahrump, NV 89048
Phone (702) 751-6700

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1609859305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 S DURANGO DR",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174439",
            "telephone_number": "702-256-3637",
            "fax_number": "702-256-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 N BUFFALO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297424",
            "telephone_number": "702-341-6699",
            "fax_number": "702-341-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEELA",
        "first_name": "GOPALAKRISHNA",
        "middle_name": "IYENGAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506959",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.