NPIMap

Individual provider Active NPI

Arvin Ajay Gupta, MD

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1841359353
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
12864 Issued in NV
Practice address
5815 S Rainbow Blvd Ste 110
Las Vegas, NV 89118-2553
Phone
(702) 588-7077
Fax
(702) 588-7079
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 12864 NV Primary

Addresses

Primary practice location

5815 S Rainbow Blvd Ste 110
Las Vegas, NV 89118-2553

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
400240MedicaidAZ
1841359353MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agupta35766@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
I20090205000160 NV Practitioner - NephrologyPractitioner - Internal Medicine 4587768056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2002
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)

5815 S Rainbow Blvd
Suite 110
Las Vegas, NV 89118-2553
Phone (702) 588-7077

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nkdhc Rudnitsky PLLC Nephrology CurrentSince Jan 1, 2015 Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Arvin Future Care PC Nephrology PastSince Apr 6, 2010 Accepting new patients
Nkdhc Rudnitsky PLLC Nephrology Past Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Dignity Health 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

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

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

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

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

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

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

6970 W Patrick Ln
Ste 140
Las Vegas, NV 89113
Phone (702) 485-5500

Interoperability endpoints

  • Direct secure messaging: agupta6219@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 9

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1841359353",
    "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": "5815 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182553",
            "telephone_number": "702-588-7077",
            "fax_number": "702-588-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ARVIN",
        "middle_name": "AJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "12864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400240",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841359353",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agupta35766@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "5815 S Rainbow Blvd Ste 110",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891182553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.