Individual provider Active NPI

Bharat Reddy Mocherla, MD

  • Nuclear Imaging & Therapy Physician
  • Las Vegas, NV
National Provider Identifier
1841451234
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
A 103435 Issued in CA
Practice address
7320 Bachelors Button Dr
Las Vegas, NV 89131-4119
Phone
(646) 291-7929
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X MD2015-0813 NM
Nuclear Imaging & Therapy Physician 207UN0902X 13144 NV
Nuclear Imaging & Therapy Physician 207UN0902X A 103435 CA Primary

Addresses

Primary practice location

7320 Bachelors Button Dr
Las Vegas, NV 89131-4119

Mailing address

7320 Bachelors Button Dr
Las Vegas, NV 89131-4119
Phone (646) 291-7929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, NM2 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

Enrollment IDStateProvider typePAC IDDetails
I20090903000199 NV Practitioner - Diagnostic Radiology 4587719166 Reassigns benefits to 5 organizations
I20160314000963 NM Practitioner - Diagnostic Radiology 4587719166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 103435CAMDNuclear Imaging & Therapy Physician
13144NVMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pco PC CurrentSince Jul 1, 2022 Accepting new patients
Kittusamy LLC CurrentSince Jul 20, 2009 Accepting new patients
Las Cruces Medical Center LLC Past Accepting new patients
Sierra Vista Hospital Past Accepting new patients

Locations

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

7660 W Cheyenne Ave
Ste 112
Las Vegas, NV 89129
Phone (702) 413-5079

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.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1841451234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 BACHELORS BUTTON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314119",
            "telephone_number": "646-291-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 BACHELORS BUTTON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314119",
            "telephone_number": "646-291-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCHERLA",
        "first_name": "BHARAT",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NM",
            "license": "MD2015-0813",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NV",
            "license": "13144",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "CA",
            "license": "A 103435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.