Las Vegas Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LAS VEGAS PEDIATRICS, PLLC

Doing business as

Las Vegas Pediatrics

Practice address

6070 S Rainbow Blvd Ste 10
Las Vegas, NV 89118-2503

Phone

(702) 420-7222

Fax

(702) 331-6018

NPI assigned

Mar 27, 2023

Last updated

Oct 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mimi Kuriakose, MDNPI 1144582966

Title

Physician/Owner

Phone

(504) 250-8911

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Las Vegas Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Las Vegas Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Las Vegas Pediatrics, PLLC

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1841090149
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mimi Marella Kuriakose, MD

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1144582966
  NPD Authorized official
• Padmani Rai, PA-C

  • Physician Assistant
  • Las Vegas, NV
  • NPI 1639969348
  NPD
• Bonnie Katherine Buckles, M.D.

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1235526534
  NPD (past)
• Lindsey Rosenberg, APRN-FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1245187525
  NPD (past)
• Christopher Tat

  • Physician Assistant
  • Seattle, WA
  • NPI 1962059147
  NPD (past)

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1619671658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 S RAINBOW BLVD",
            "address_2": "UNIT 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182503",
            "telephone_number": "504-250-8911",
            "fax_number": "702-331-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 S RAINBOW BLVD STE 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182503",
            "telephone_number": "702-420-7222",
            "fax_number": "702-331-6018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9325 W Sahara Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891175350",
            "country_code": "US",
            "telephone_number": "725-735-2599",
            "fax_number": "725-735-2736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAS VEGAS PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "KURIAKOSE",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "504-250-8911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250025509",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Las Vegas Paiute Tribe Health & Human Services
• Las Vegas Paiute Tribe Health and Human Services
• Las Vegas Pca, LLC
• Las Vegas Peace Center LLC
• Las Vegas Pediatric Dialysis LLC (Las Vegas Pediatrics Dialysis Center)
• Las Vegas Pediatrics, PLLC
• Las Vegas Personal Care
• Las Vegas Personal Care
• Las Vegas Personal Care (Las Vegas HealthCare)
• Las Vegas Pharmacy, Inc. (Las Vegas Pharmacy)

• Pediatrics Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.