NPIMap

Individual provider Active NPI

Worawith Techathaveewat, DO

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1750900593
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO3292 Issued in NV
Practice address
620 Shadow LN
Las Vegas, NV 89106-4119
Phone
(702) 477-6572
NPI assigned
Apr 12, 2020
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO3292 NV Primary

Addresses

Primary practice location

620 Shadow LN
Las Vegas, NV 89106-4119

Mailing address

620 Shadow LN
Las Vegas, NV 89106-4119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810003761 NV Practitioner - Internal Medicine 9032533732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D and D Milne LTDGroup PAC ID 4880786516, 6 clinicians
Khoa Le DO a PLLCGroup PAC ID 7214075050, 5 clinicians

Practice addresses (Care Compare)

2010 Wellness Way
Suite 100
Las Vegas, NV 89106-4142
Phone (702) 588-7373

2810 W Charleston Blvd
Suite 77
Las Vegas, NV 89102-1910
Phone (702) 450-1717

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Khoa Le DO a PLLC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
D and D Milne, LTD Internal Medicine CurrentSince Apr 3, 2025 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Pam Specialty Hospital of Las Vegas LLC Past Accepting new patients
Pam Squared at Las Vegas, LLC Past Accepting new patients
Valley Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Khoa D Le Internal Medicine Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

2010 Wellness Way
Ste 100
Las Vegas, NV 89106
Phone (702) 588-7373

2810 W Charleston Blvd
Ste 77
Las Vegas, NV 89102
Phone (702) 445-6323

500 N Rainbow Blvd
Ste 100
Las Vegas, NV 89107

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

Organizations & group practices 11

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1750900593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064119",
            "telephone_number": "702-477-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECHATHAVEEWAT",
        "first_name": "WORAWITH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-12",
        "last_updated": "2023-07-24",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO3292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.