NPIMap

Individual provider Active NPI

Sudipkumar Keshavji Bhanderi, M.D.

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1841497757
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14779 Issued in NV
Practice address
2020 Palomino LN
100
Las Vegas, NV 89106-4894
Phone
(702) 759-8600
Fax
(702) 384-1815
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN11374 FL
Diagnostic Radiology Physician 2085R0202X 14779 NV Primary

Addresses

Primary practice location

2020 Palomino LN
100
Las Vegas, NV 89106-4894

Mailing address

2020 Palomino LN
100
Las Vegas, NV 89106-4894
Phone (702) 759-8600

Other identifiers 1

IdentifierTypeStateIssuer
P01218840OtherNVRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AR, WV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130528000636 NV Practitioner - Diagnostic Radiology 8921246232 Reassigns benefits to 5 organizations
I20241112001791 AR Practitioner - Diagnostic Radiology 8921246232 Reassigns benefits to 1 organization
I20260624002533 WV Practitioner - Diagnostic Radiology 8921246232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Radiologists LTDGroup PAC ID 8123009941, 38 clinicians

Practice addresses (Care Compare)

18 Olive Ridge Dr
Las Vegas, NV 89135-7892
Phone (870) 910-6654

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN11374FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Oct 10, 2024 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince Jan 21, 2026 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
St Bernards Physician Clinics Inc Diagnostic Radiology CurrentSince Jan 21, 2026 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group II Rhodes P C Internal Medicine CurrentSince Aug 13, 2019 Accepting new patients
Arcare CurrentSince Oct 10, 2024 Accepting new patients
Arcare Current Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270

Interoperability endpoints

  • Direct secure messaging: sbhanderi10461@direct.umcsn.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1841497757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN",
            "address_2": "100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PALOMINO LN",
            "address_2": "100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064894",
            "telephone_number": "702-759-8600",
            "fax_number": "702-384-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDERI",
        "first_name": "SUDIPKUMAR",
        "middle_name": "KESHAVJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN11374",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "14779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01218840",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.