NPIMap

Individual provider Active NPI

Basker Periyasamy, M.D.

  • Nephrology Physician
  • Henderson, NV
National Provider Identifier
1821187188
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13305 Issued in NV
Practice address
3051 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-4690
Phone
(702) 726-6344
Fax
(702) 726-5828
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 13305 NV Primary

Addresses

Primary practice location

3051 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-4690

Mailing address

2545 S Bruce St Ste 200
Las Vegas, NV 89169-1778
Phone (702) 732-2438

Other identifiers 2

IdentifierTypeStateIssuer
467915MedicaidAZ
1821187188MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bperiyasamy35795@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091203000078 NV Practitioner - NephrologyPractitioner - Internal Medicine 2668529108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Medical College of Ohio, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nkdhc Rudnitsky PLLCGroup PAC ID 1557582210, 44 clinicians

Practice addresses (Care Compare)

2545 S Bruce St
Suite 200
Las Vegas, NV 89169-1731
Phone (702) 732-2438

Hospital & facility affiliations

  • 292543 Liberty Dialysis - Las Vegas (FMC) Dialysis facility, Las Vegas, NV, CCN 292543
  • 292513 South Pecos (FMC) Dialysis facility, Las Vegas, NV, CCN 292513
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Saint Rose Dominican Hospitals - San Martin Campus Hospital, Las Vegas, NV, CCN 290053
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13305NVMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nkdhc Rudnitsky PLLC Nephrology CurrentSince Jan 1, 2015 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
The Good Samaritan Hospital of Cincinnati, Ohio Past Accepting new patients
Nkdhc Rudnitsky PLLC Nephrology Past Accepting new patients
Mercy Health - Fairfield Hospital LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients

Locations

3333 E Camelback Rd
Ste 180
Phoenix, AZ 85018
Phone (602) 997-0484

861 Coronado Center Dr
Ste 120
Henderson, NV 89052
Phone (702) 726-6344

3051 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 726-6344

3051 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 640-5443

1051 Wellness Pl
Ste 140
Henderson, NV 89011
Phone (702) 289-4037

2850 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 313-8446

5815 S Rainbow Blvd
#110
Las Vegas, NV 89118
Phone (702) 588-7077

2450 Fire Mesa St
Ste 110
Las Vegas, NV 89128
Phone (702) 853-0090

2543 S Bruce St
Ste 200
Las Vegas, NV 89169
Phone (702) 732-2438

2450 Fire Mesa St
Ste 100
Las Vegas, NV 89128
Phone (702) 341-8031

1581 Mount Mariah Dr
Ste 150
Las Vegas, NV 89106
Phone (702) 851-7766

Interoperability endpoints

  • Direct secure messaging: basker.periyasamy.p208@direct.aac.nextgenshare.com
  • Direct secure messaging: basker.periyasamy.p112@direct.aac.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1821187188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 S BRUCE ST STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891691778",
            "telephone_number": "702-732-2438",
            "fax_number": "702-737-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 W HORIZON RIDGE PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524690",
            "telephone_number": "702-726-6344",
            "fax_number": "702-726-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIYASAMY",
        "first_name": "BASKER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "13305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "467915",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821187188",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bperiyasamy35795@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "3051 W Horizon Ridge Pkwy Ste 130",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890524690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.