Individual provider Active NPI

Branavan Umakanthan, D.O.

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1649359043
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D01407 Issued in NV
Practice address
3150 N Tenaya Way
Suite #320
Las Vegas, NV 89128-0443
Phone
(702) 240-6482
Fax
(702) 804-0957
NPI assigned
Nov 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D01407 NV Primary

Addresses

Primary practice location

3150 N Tenaya Way
Suite #320
Las Vegas, NV 89128-0443

Mailing address

700 E Silverado Ranch Blvd
Suite #170
Las Vegas, NV 89183-7516
Phone (702) 240-6482

Other identifiers 1

IdentifierTypeStateIssuer
1649359043MedicaidNV

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000280 NV Practitioner - Interventional Cardiology 5698760601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Heart and Vascular Center Resh LLPGroup PAC ID 5395746283, 41 clinicians

Practice addresses (Care Compare)

2724 N Tenaya Way
Suite 100
Las Vegas, NV 89128-0424
Phone (702) 240-6482

2839 Saint Rose Pkwy
Suite 160
Henderson, NV 89052-4849
Phone (702) 240-6482

401 N Buffalo Dr
Las Vegas, NV 89145-0397
Phone (702) 240-6482

500 E Windmill LN
Suite 140
Las Vegas, NV 89123-1847
Phone (702) 240-6482

56 N Pecos Rd
Suite B
Henderson, NV 89074-7332
Phone (702) 240-6482

893 Adams Blvd
Boulder City, NV 89005-2235
Phone (702) 240-6482

Hospital & facility affiliations

  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Boulder City Hospital Hospital, Boulder City, NV, CCN 291309
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D01407NVMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Heart and Vascular Center Resh LLP Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients
Nevada Heart and Vascular Center Resh LLP Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Cardiovascular Consultants of Nevada Cardiovascular Disease Past Accepting new patients
Dignity Health Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

893 Adams Blvd
Boulder City, NV 89005
Phone (702) 257-7546

2465 W Horizon Ridge Pkwy
Henderson, NV 89052

2465 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 616-0500

98 E Lake Mead Pkwy
Ste 305
Henderson, NV 89015
Phone (702) 433-2777

38 S Water St
Ste 310
Henderson, NV 89015
Phone (702) 340-6482

38 S Water St
Ste 200
Henderson, NV 89015
Phone (702) 545-0808

2839 Saint Rose Pkwy
Ste 160
Henderson, NV 89052
Phone (702) 333-7270

700 E Silverado Ranch Blvd
Ste 170
Las Vegas, NV 89183

3150 N Tenaya Way
Ste 320
Las Vegas, NV 89128
Phone (702) 962-2100

3150 N Tenaya Way
Ste 135
Las Vegas, NV 89128
Phone (702) 360-6100

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

500 E Windmill Ln
Ste 140
Las Vegas, NV 89123

2724 N Tenaya Way
#100
Las Vegas, NV 89128

6525 N Buffalo Dr
Ste 130
Las Vegas, NV 89131
Phone (702) 313-7878

5795 Arville St
Ste 200
Las Vegas, NV 89118

1440 E Calvada Blvd
Ste 700
Pahrump, NV 89048
Phone (702) 933-6400

Interoperability endpoints

  • Direct secure messaging: bumakanthan10349@direct.umcsn.com
  • Direct secure messaging: branavan.umakanthan.1@29724.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1649359043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E SILVERADO RANCH BLVD",
            "address_2": "SUITE #170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837516",
            "telephone_number": "702-240-6482",
            "fax_number": "702-804-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "SUITE #320",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-240-6482",
            "fax_number": "702-804-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMAKANTHAN",
        "first_name": "BRANAVAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "D01407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649359043",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.