Individual provider Active NPI

Priya Samant, DPM

  • Podiatrist
  • Henderson, NV
National Provider Identifier
1770997405
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2039 Issued in NV
Practice address
3175 Saint Rose Pkwy Ste 320
Henderson, NV 89052-3508
Phone
(702) 997-9833
Fax
(702) 666-0413
NPI assigned
Jun 20, 2014
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002544 MI
Podiatrist 213E00000X 2039 NV Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 003795 OH

Addresses

Primary practice location

3175 Saint Rose Pkwy Ste 320
Henderson, NV 89052-3508

Mailing address

2208 White Mist Dr
Las Vegas, NV 89134-0118
Phone (510) 579-7797

Other practice location 1

8175 Market St
Youngstown, OH 44512-6244
Phone (330) 629-8800

Other practice location 2

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

Other practice location 3

8175 Market St
Youngstown, OH 44512-6244
Phone (330) 629-8800

Other names 1

  • Dr. Priya Sajja Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181220003347 NV Practitioner - Podiatry 7113295718 Reassigns benefits to 2 organizations
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Foot and Ankle Institute, LLCGroup PAC ID 1850576778, 4 clinicians
Preferred Podiatry Group of Michigan PCGroup PAC ID 2961836978, 5 clinicians

Practice addresses (Care Compare)

3175 Saint Rose Pkwy
Suite 320
Henderson, NV 89052-3508
Phone (702) 997-9833

5650 S Rainbow Blvd
Las Vegas, NV 89118-1808
Phone (702) 470-1102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1110
Removal or shaving of skin growth138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2039NVMDGeneral Practice Dentistry
5901002544MIMDPodiatrist
003795OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group of Michigan PC Single Specialty CurrentSince Oct 25, 2022 Accepting new patients
Orthopedic Foot and Ankle Institute, LLC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients

Locations

3175 Saint Rose Pkwy
Ste 320
Henderson, NV 89052
Phone (702) 997-9833

5650 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 470-1102

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4331/brand/1/csg/1/fhir/r4
  • Direct secure messaging: priya.samant.1@4331.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1770997405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 WHITE MIST DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340118",
            "telephone_number": "510-579-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 SAINT ROSE PKWY STE 320",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523508",
            "telephone_number": "702-997-9833",
            "fax_number": "702-666-0413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8175 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126244",
            "country_code": "US",
            "telephone_number": "330-629-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16001 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480754818",
            "country_code": "US",
            "telephone_number": "248-849-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8175 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126244",
            "country_code": "US",
            "telephone_number": "330-629-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMANT",
        "first_name": "PRIYA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002544",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "2039",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "003795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRIYA",
            "last_name": "SAJJA",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.