Individual provider Active NPI

Tudor C Jianu, M.D.

  • Rheumatology Physician
  • Las Vegas, NV
National Provider Identifier
1821039546
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
8309 Issued in NV
Practice address
8420 S Eastern Ave Ste 101
Las Vegas, NV 89123-2875
Phone
(702) 385-6468
Fax
(702) 385-2663
NPI assigned
Jun 10, 2006
Last updated
Mar 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8309 NV
Rheumatology Physician 207RR0500X 8309 NV Primary

Addresses

Primary practice location

8420 S Eastern Ave Ste 101
Las Vegas, NV 89123-2875

Mailing address

8420 S Eastern Ave Ste 101
Las Vegas, NV 89123-2875
Phone (702) 385-6468

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050221000089 NV Practitioner - RheumatologyPractitioner - Internal Medicine 1759333594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Bee Ririe HospitalGroup PAC ID 9335051747, 40 clinicians

Practice addresses (Care Compare)

1500 Ave H
Ely, NV 89301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8309NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
William Bee Ririe Hospital CurrentSince May 29, 2024 Accepting new patients
William Bee Ririe Retail Pharmacy CurrentSince May 29, 2024 Accepting new patients

Locations

1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001

6 Steptoe Cir
Ely, NV 89301
Phone (775) 289-3001

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

Hospital & facility affiliations 1

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1821039546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 S EASTERN AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232875",
            "telephone_number": "702-385-6468",
            "fax_number": "702-385-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 S EASTERN AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232875",
            "telephone_number": "702-385-6468",
            "fax_number": "702-385-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANU",
        "first_name": "TUDOR",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8309",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NV",
            "license": "8309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.