NPIMap

Individual provider Active NPI

Srivathsa C Veeraraghavan, M.D.

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1861735672
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18826 Issued in NV
Practice address
1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone
(702) 383-2000
NPI assigned
Mar 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 62749-20 WI
Diagnostic Radiology Physician 2085R0202X 62749-20 WI
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 18826 NV Primary

Addresses

Primary practice location

1800 W Charleston Blvd
Las Vegas, NV 89102-2386

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone (702) 383-2000

Other practice location 1

2900 W Oklahoma Ave
Aurora St. Luke's Medical Center, Dept. of Radiology
Milwaukee, WI 53215-4330
Phone (414) 649-6298

Other practice location 2

309 W Johnson St Apt 539
Madison, WI 53703-3514
Phone (408) 802-4232

Other practice location 3

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2948

Other practice location 4

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180626003518 WI Practitioner - Diagnostic Radiology 1850676438 Reassigns benefits to 1 organization
I20191008001692 NV Practitioner - Diagnostic Radiology 1850676438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
University Medical Center of Southern NevadaGroup PAC ID 7315934429, 388 clinicians
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians

Practice addresses (Care Compare)

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (866) 722-1655

Hospital & facility affiliations

  • University Medical Center Hospital, Las Vegas, NV, CCN 290007
  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
98.01 of 100Reported as apm
Quality
84.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62749-20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Sep 30, 2024 Accepting new patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Aug 10, 2019 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Sep 30, 2024 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology Past Accepting new patients

Locations

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

7130 Smoke Ranch Rd
Ste 101
Las Vegas, NV 89128
Phone (702) 304-8135

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

7130 Smoke Ranch Rd
Las Vegas, NV 89128
Phone (702) 588-7960

Organizations & group practices 5

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1861735672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022386",
            "telephone_number": "702-383-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022386",
            "telephone_number": "702-383-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 W Oklahoma Ave",
            "address_2": "Aurora St. Luke's Medical Center, Dept. of Radiology",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532154330",
            "country_code": "US",
            "telephone_number": "414-649-6298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 W Johnson St Apt 539",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537033514",
            "country_code": "US",
            "telephone_number": "408-802-4232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 W Sunset Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89148",
            "country_code": "US",
            "telephone_number": "702-880-2948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 W Sunset Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89148",
            "country_code": "US",
            "telephone_number": "702-880-2948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEERARAGHAVAN",
        "first_name": "SRIVATHSA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WI",
            "license": "62749-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "62749-20",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "18826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.