Individual provider Active NPI

Mahesh Reddy Kuthuru, MD

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1770534745
Registry record updated Dec 2, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Nov 20, 2016.
  • Section 1128a(1) exclusion effective May 19, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
215662 Issued in NY
Practice address
5701 West Charleston Boulevard
Suite 207
Las Vegas, NV 89146-0000
Phone
(702) 240-8318
Fax
(702) 240-8331
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 215662 NY Primary

Addresses

Primary practice location

5701 West Charleston Boulevard
Suite 207
Las Vegas, NV 89146-0000

Mailing address

5701 West Charleston Boulevard
Suite 207
Las Vegas, NV 89146-0000
Phone (702) 240-8318

Other identifiers 1

IdentifierTypeStateIssuer
02040260MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Pain Medicine PC Specialist PastSince May 1, 2005 Accepting new patients
Kuthuru Desert Pain Management, PC Past Accepting new patients
M R Goriganti Physician PLLC Past Accepting new patients

Organizations & group practices 3

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1770534745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 WEST CHARLESTON BOULEVARD",
            "address_2": "SUITE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460000",
            "telephone_number": "702-240-8318",
            "fax_number": "702-240-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 WEST CHARLESTON BOULEVARD",
            "address_2": "SUITE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460000",
            "telephone_number": "702-240-8318",
            "fax_number": "702-240-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTHURU",
        "first_name": "MAHESH",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "215662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02040260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.