NPIMap

Organization Active NPI

The Sleep Center of Nevada

  • Sleep Medicine (Internal Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1922262187
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
3775 Issued in NV
Legal business name
THE SLEEP CENTER OF NEVADA
Practice address
5701 W Charleston Blvd Ste 105
Las Vegas, NV 89146-1256
Phone
(702) 877-9514
Fax
(702) 818-2440
NPI assigned
Jul 16, 2008
Organization subpart
Yes
Parent organization
R.D.PRABHU-LATA K SHETE, MDS, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Rachakonda Prabhu, MD
Title
President
Phone
(702) 877-9514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X 3775 NV Primary

Addresses

Primary practice location

5701 W Charleston Blvd Ste 105
Las Vegas, NV 89146-1256

Mailing address

5701 W Charleston Blvd Ste 105
Las Vegas, NV 89146-1256
Phone (702) 877-9514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031210001032 NV Part B Supplier - Clinic/Group Practice 8820994791 Receives reassigned benefits from 27 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Henderson, NV; Pahrump, NV; North Las Vegas, NV; Las Vegas, NV

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Sleep Center of Nevada7 organizations share this tax ID, including this one
Part of
The Sleep Center of Nevada

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5701 W Charleston Blvd
Ste 105
Las Vegas, NV 89146
Phone (702) 643-0500

5701 W Charleston Blvd
Ste 100
Las Vegas, NV 89146
Phone (702) 877-9514

Practitioners & affiliated clinicians

Practitioners 3

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": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1922262187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W CHARLESTON BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461256",
            "telephone_number": "702-877-9514",
            "fax_number": "702-818-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W CHARLESTON BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461256",
            "telephone_number": "702-877-9514",
            "fax_number": "702-818-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SLEEP CENTER OF NEVADA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R.D.PRABHU-LATA K SHETE, MDS, LTD",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "PRABHU",
        "authorized_official_first_name": "RACHAKONDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-877-9514",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NV",
            "license": "3775",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 16, 2008; 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.