Individual provider Active NPI

Subhasree Panchangam, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Las Vegas, NV
National Provider Identifier
1760809818
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
19099 Issued in NV
Practice address
3131 La Canada St Ste 140
Las Vegas, NV 89169-2579
Phone
(702) 933-9400
Fax
(702) 933-9444
NPI assigned
Mar 26, 2014
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NV
Cardiovascular Disease Physician 207RC0000X BP10061062 TX
Clinical Cardiac Electrophysiology Physician 207RC0001X 283694 MA
Clinical Cardiac Electrophysiology Physician 207RC0001X 19099 NV Primary

Addresses

Primary practice location

3131 La Canada St Ste 140
Las Vegas, NV 89169-2579

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 545-6618

Other practice location 2

830 Harrison Ave Bldg 3500
Boston, MA 02118-2905
Phone (617) 638-8776

Other practice location 3

2040 W Charleston Blvd
Las Vegas, NV 89102-2227
Phone (702) 671-2341

Other identifiers 2

IdentifierTypeStateIssuer
19099OtherNVSTATE LICENSE
1760809818MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220907001492 TX Practitioner - Internal Medicine 0244459394 Reassigns benefits to 1 organization
I20250211001615 NV Practitioner - Cardiac Electrophysiology 0244459394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3131 La Canada St
Las Vegas, NV 89169-2578
Phone (702) 933-9400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
90.22
Promoting interoperability
95
Improvement activities
40
Cost
75.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10061062TXMDCardiovascular Disease Physician
283694MAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc Interventional Cardiology CurrentSince Mar 3, 2025 Accepting new patients
El Paso County Hospital District CurrentSince May 26, 2022 Accepting new patients
El Paso County Hospital District CurrentSince May 26, 2022 Accepting new patients
Intermountain Medical Holdings Nevada Inc Cardiovascular Disease CurrentSince Mar 3, 2025 Accepting new patients
Intermountain Medical Holding Nevada, Inc. CurrentSince Mar 20, 2025 Accepting new patients
Healthcare Partners Medical Group (Coats), LTD. PastSince Mar 20, 2025 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients

Locations

3131 La Canada St
Las Vegas, NV 89169
Phone (702) 636-6360

3131 La Canada St
Ste 140
Las Vegas, NV 89169
Phone (702) 933-9400

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

Interoperability endpoints

  • Direct secure messaging: subhasree.panchangam.1@18124.direct.athenahealth.com
  • Direct secure messaging: subhasree.panchangam@direct.myhealthep.org
  • Direct secure messaging: subhasreepanchangam@hcpnv.allscriptsdirect.net

Organizations & group practices 7

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 4

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1760809818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692579",
            "telephone_number": "702-933-9400",
            "fax_number": "702-933-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052709",
            "country_code": "US",
            "telephone_number": "915-545-6618",
            "fax_number": "915-545-6634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Harrison Ave Bldg 3500",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182905",
            "country_code": "US",
            "telephone_number": "617-638-8776",
            "fax_number": "617-414-8772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022227",
            "country_code": "US",
            "telephone_number": "702-671-2341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANCHANGAM",
        "first_name": "SUBHASREE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "BP10061062",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MA",
            "license": "283694",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NV",
            "license": "19099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "19099",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760809818",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.