NPIMap

Individual provider Active NPI

Sandhya Wahi-Gururaj, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1821199860
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11414 Issued in NV
Practice address
1707 W Charleston Blvd
230
Las Vegas, NV 89102-2351
Phone
(702) 671-5060
Fax
(702) 384-6609
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11414 NV Primary

Addresses

Primary practice location

1707 W Charleston Blvd
230
Las Vegas, NV 89102-2351

Mailing address

1701 W Charleston Blvd
215
Las Vegas, NV 89102-2325
Phone (702) 671-5060

Other identifiers 2

IdentifierTypeStateIssuer
100500484MedicaidNV
100508641MedicaidNV

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
I20051114000556 NV Practitioner - Internal Medicine 9931128584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlv MedicineGroup PAC ID 4183991458, 177 clinicians

Practice addresses (Care Compare)

1707 W Charleston Blvd
Suite 230
Las Vegas, NV 89102-2353
Phone (702) 671-6412

Hospital & facility affiliations

  • University Medical Center Hospital, Las Vegas, NV, CCN 290007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11414NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Unlv Medicine CurrentSince Jul 1, 2017 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

1701 W Charleston Blvd
Ste 250
Las Vegas, NV 89102
Phone (702) 671-2341

5380 S Rainbow Blvd
Ste 324
Las Vegas, NV 89118
Phone (702) 992-6828

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

1707 W Charleston Blvd
Ste 230
Las Vegas, NV 89102
Phone (702) 671-5060

3014 W Charleston Blvd
Ste 130
Las Vegas, NV 89102
Phone (702) 671-5127

1707 W Charleston Blvd
Ste 220
Las Vegas, NV 89102
Phone (702) 671-5070

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

Interoperability endpoints

  • Direct secure messaging: swahigururaj18756@direct.umcsn.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 12

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1821199860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD",
            "address_2": "215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022325",
            "telephone_number": "702-671-5060",
            "fax_number": "702-684-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W CHARLESTON BLVD",
            "address_2": "230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022351",
            "telephone_number": "702-671-5060",
            "fax_number": "702-384-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHI-GURURAJ",
        "first_name": "SANDHYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500484",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508641",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.