Prasad-Leela LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11458 Issued in NV

Legal business name

PRASAD-LEELA LLC

Practice address

3416 N Buffalo Dr
Las Vegas, NV 89129-7424

Phone

(702) 341-6699

Fax

(702) 341-6968

NPI assigned

Aug 30, 2006

Last updated

Sep 14, 2023By 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

Gopalakrishna Iyengar Leela, MDNPI 1609859305

Title

Owner

Phone

(702) 341-6699

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 4

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.

• Gopalakrishna Iyengar Leela, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1609859305
  Medicare reassignment Care Compare group NPD Authorized official
• Gloria Santiaguel Mandel, NP

  • Nurse Practitioner
  • Henderson, NV
  • NPI 1528566460
  Medicare reassignment Care Compare group NPD
• Maria Zarina Diao, NP

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1861732976
  Medicare reassignment NPD
• Catherine Blakeslee Lorentz, APRN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1669919742
  Medicare reassignment NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1629187885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 S DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174440",
            "telephone_number": "702-341-6699",
            "fax_number": "702-341-6968"
        },
        {
            "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": {
        "organization_name": "PRASAD-LEELA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "LEELA",
        "authorized_official_first_name": "GOPALAKRISHNA",
        "authorized_official_middle_name": "IYENGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-341-6699",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pragma Medical Center LLC
• Ashley Colleen Prandecki, MD
• Travis Lee Prange, PT, DPT
• Garry Praninsky
• Gisell Prardo
• Amish Shankar Prasad, DO
• Darbha Rao Prasad, MD
• Jaya C Prasad, M.D.
• Mallika Prasad
• Sonal Prasad

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.