Individual provider Active NPI

Sunil Kalla, MD

  • Cardiovascular Disease Physician
  • Henderson, NV
National Provider Identifier
1699726240
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9939 Issued in NV
Practice address
2779 W Horizon Ridge Pkwy
Suite #240
Henderson, NV 89052-4184
Phone
(702) 240-6482
Fax
(702) 240-8529
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 9939 NV Primary

Addresses

Primary practice location

2779 W Horizon Ridge Pkwy
Suite #240
Henderson, NV 89052-4184

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
V103055OtherNVMEDICARE GROUP PTAN
20-0562668OtherNVTAX ID#
V102532OtherRETIRED RAILROAD MEDICARE PIN

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060818000534 NV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 3870596596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1440 E Calvada Blvd
Suite 700
Pahrump, NV 89048-5856
Phone (702) 240-6482

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

4275 Burnham Ave
Suite 100
Las Vegas, NV 89119-5400
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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9939NVMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Heart and Vascular Center Resh LLP Cardiovascular Disease CurrentSince Oct 1, 2013 Accepting new patients
Nevada Heart and Vascular Center Resh LLP Cardiovascular Disease CurrentSince Oct 1, 2013 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Cardiovascular Consultants of Nevada Cardiovascular Disease Past Accepting new patients
Sunil Kalla, M.D., Inc. PC Cardiovascular Disease PastSince Jun 1, 2006 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

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

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

2779 W Horizon Ridge Pkwy
Ste 240
Henderson, NV 89052
Phone (702) 475-4347

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

56 N Pecos Rd
Ste B
Henderson, NV 89074
Phone (702) 724-8777

4275 Burnham Ave
Ste 100
Las Vegas, NV 89119

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

2724 N Tenaya Way
#100
Las Vegas, NV 89128

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

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

500 E Windmill Ln
Ste 140
Las Vegas, NV 89123

5795 Arville St
Ste 200
Las Vegas, NV 89118

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

Interoperability endpoints

  • Direct secure messaging: sunil.kalla.1@29724.direct.athenahealth.com
  • Direct secure messaging: skalla10467@direct.umcsn.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1699726240",
    "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": "702-240-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 W HORIZON RIDGE PKWY",
            "address_2": "SUITE #240",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524184",
            "telephone_number": "702-240-6482",
            "fax_number": "702-240-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLA",
        "first_name": "SUNIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "9939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "V103055",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "20-0562668",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE PIN",
            "identifier": "V102532",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.