Individual provider Active NPI

Komal Kaur Pordal, MD

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1669058400
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
27328 Issued in NV
Practice address
6600 W Charleston Blvd Ste 142
Las Vegas, NV 89146-1050
Phone
(702) 440-8430
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 27328 NV Primary

Addresses

Primary practice location

6600 W Charleston Blvd Ste 142
Las Vegas, NV 89146-1050

Mailing address

6600 W Charleston Blvd Ste 142
Las Vegas, NV 89146-1050
Phone (702) 440-8430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CO, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250725002803 NV Practitioner - Psychiatry 4284034646 Reassigns benefits to 1 organization
I20260601002516 CO Practitioner - Psychiatry 4284034646 Reassigns benefits to 1 organization
I20260604001084 AZ Practitioner - Psychiatry 4284034646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stark Medicine McKay Khurana Jeider PLLCGroup PAC ID 1557601978, 23 clinicians

Practice addresses (Care Compare)

6600 W Charleston Blvd
Suite 142
Las Vegas, NV 89146-9001
Phone (702) 440-8430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27328NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Services Professional Corporation Khurana Jeider Psychiatry CurrentSince May 1, 2026 Accepting new patients

Locations

1600 W University Ave
Ste 104
Flagstaff, AZ 86001
Phone (888) 376-5880

1500 N Grant St
#8029
Denver, CO 80203

6600 W Charleston Blvd
Ste 142
Las Vegas, NV 89146
Phone (702) 440-8430

5929 Westgate Blvd
Ste C
Tacoma, WA 98406
Phone (253) 368-6227

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1669058400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 W CHARLESTON BLVD STE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461050",
            "telephone_number": "702-440-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W CHARLESTON BLVD STE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461050",
            "telephone_number": "702-440-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORDAL",
        "first_name": "KOMAL",
        "middle_name": "KAUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "27328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.