Supriya Reddy Dasari, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A159479 Issued in CA

Practice address

710 Coronado Center Dr Ste 200
Henderson, NV 89052-4291

Phone

(702) 622-0395

Fax

(702) 602-6800

NPI assigned

Apr 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, CA2 enrollments

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 2

Specialty

Anesthesiology

Education

University of Missouri, Kansas City, School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silicon Valley Anesthesia Associates IncGroup PAC ID 7618235003, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdasari231550@santaclaravalley.direct-ci.net

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.

• Silicon Valley Anesthesia Associates, Inc.

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1427500040

  Single Specialty

  Medicare reassignment Care Compare group NPD
• PBS Anesthesia LLC

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1740403658

  Single Specialty

  Medicare reassignment NPD
• Rose Orchid Medical Center PC

  • Anesthesiology Physician
  • Henderson, NV
  • NPI 1932813557
  NPD Authorized official

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1831622604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CORONADO CENTER DR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524291",
            "telephone_number": "702-622-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CORONADO CENTER DR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524291",
            "telephone_number": "702-622-0395",
            "fax_number": "702-602-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASARI",
        "first_name": "SUPRIYA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A159479",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A159479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dee-Anna Darlington, MSN, FNP-BC, FNP-C
• Sarah Daro, MSW, CSWI
• Audrey N Darreguet
• Joshua David Dary
• Chanukya Reddy Dasari, MD
• Christopher Daulton
• Els Dauven, PA-C
• Brittnee Davenport, DO
• Kathrynn Ann Davenport
• David a Stella DC PC

• Anesthesiology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Anesthesiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.