NPIMap

Individual provider Active NPI

Gaurav Jain, MD

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1649309501
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13117 Issued in NV
Practice address
1294 S Jones Blvd
Las Vegas, NV 89146-1284
Phone
(702) 877-1887
Fax
(702) 877-4536
NPI assigned
Mar 5, 2007
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 13117 NV Primary

Addresses

Primary practice location

1294 S Jones Blvd
Las Vegas, NV 89146-1284

Mailing address

500 S Rancho Dr
Ste. 12
Las Vegas, NV 89106-4844
Phone (702) 877-1887

Other identifiers 1

IdentifierTypeStateIssuer
1649309501MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, HI, TN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090928000327 NV Practitioner - NephrologyPractitioner - Neurology 3173679578 Reassigns benefits to 1 organization
I20190715001781 HI Practitioner - Nephrology 3173679578 Reassigns benefits to 1 organization
I20200811002447 TN Practitioner - Nephrology 3173679578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Medical College of Georgia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Tele-Nephrology Associates, PCGroup PAC ID 5496040065, 3 clinicians

Practice addresses (Care Compare)

511 Union St
Suite 1800
Nashville, TN 37219-2509
Phone (855) 350-7365

8775 Deer Springs Way
Las Vegas, NV 89149-0416
Phone (702) 877-1887

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
National Tele-Nephrology Associates PC Nephrology CurrentSince May 5, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince May 22, 2019 Accepting new patients
Nephrology & Endocrine Associates Inc CurrentSince Jul 1, 2012 Accepting new patients
Hilo Benioff Medical Center CurrentSince May 22, 2019 Accepting new patients
Nephrology & Endocrine Associates Inc Nephrology CurrentSince Jul 1, 2012 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

100 N Green Valley Pkwy
Ste 310
Henderson, NV 89074
Phone (702) 565-6565

2401 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 221-7001

1294 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 877-1877

500 S Rancho Dr
Ste 12
Las Vegas, NV 89106
Phone (702) 877-1877

8775 Deer Springs Way
Las Vegas, NV 89149
Phone (702) 395-2488

2065 N Las Vegas Blvd
North Las Vegas, NV 89030
Phone (702) 639-0469

511 Union St
Ste 1800
Nashville, TN 37219
Phone (615) 777-8201

Interoperability endpoints

  • Direct secure messaging: gaurav.jain.1@20919.direct.athenahealth.com
  • Direct secure messaging: gaurav.jain@direct.davitaphysiciansolutions.com
  • Direct secure messaging: gjain18636@direct.umcsn.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1649309501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S RANCHO DR",
            "address_2": "STE. 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064844",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461284",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "GAURAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "13117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649309501",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.