Organization Active NPI

Deb K Mukhopadhyay MD PC

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1861539231
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DEB K MUKHOPADHYAY MD PC
Practice address
653 N Town Center Dr Ste 202
Las Vegas, NV 89144-0516
Phone
(702) 233-0666
Fax
(702) 233-8176
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Deb K Mukhopadhyay, MDNPI 1104816214
Title
President
Phone
(702) 233-0666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

653 N Town Center Dr Ste 202
Las Vegas, NV 89144-0516

Mailing address

653 N Town Center Dr Ste 202
Las Vegas, NV 89144-0516
Phone (702) 233-0666

Other identifiers 1

IdentifierTypeStateIssuer
1861539231OtherNVGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102001152 NV Part B Supplier - Clinic/Group Practice 5597727495 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1861539231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440516",
            "telephone_number": "702-233-0666",
            "fax_number": "702-233-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440516",
            "telephone_number": "702-233-0666",
            "fax_number": "702-233-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEB K MUKHOPADHYAY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "MUKHOPADHYAY",
        "authorized_official_first_name": "DEB",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-233-0666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1861539231",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.