Organization Active NPI

Bhatnagar Prostate Cancer Institute of Nevada PC

  • Radiation Oncology Physician
  • Las Vegas, NV
National Provider Identifier
1801664347
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
BHATNAGAR PROSTATE CANCER INSTITUTE OF NEVADA PC
Practice address
4425 S Pecos Rd Ste 3
Las Vegas, NV 89121-5039
Phone
(702) 553-4901
Fax
(702) 553-4902
NPI assigned
Dec 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Ajay BhatnagarNPI 1417161704
Title
Owner and Physician
Phone
(702) 553-4901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

4425 S Pecos Rd Ste 3
Las Vegas, NV 89121-5039

Mailing address

PO Box 15088
Phoenix, AZ 85060-5088
Phone (702) 553-4901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240201002609 AZ Part B Supplier - Clinic/Group Practice 0244683621 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ
O20240223001546 NV Part B Supplier - Clinic/Group Practice 0244683621 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1801664347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15088",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850605088",
            "telephone_number": "702-553-4901",
            "fax_number": "702-553-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S PECOS RD STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215039",
            "telephone_number": "702-553-4901",
            "fax_number": "702-553-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHATNAGAR PROSTATE CANCER INSTITUTE OF NEVADA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "BHATNAGAR",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "702-553-4901"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.