Individual provider Active NPI

Sean Liyanage, DO

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1922663228
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2987 Issued in NV
Practice address
6850 N Durango Dr Ste 208
Las Vegas, NV 89149-4596
Phone
(702) 388-8000
NPI assigned
May 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2987 NV Primary

Addresses

Primary practice location

6850 N Durango Dr Ste 208
Las Vegas, NV 89149-4596

Mailing address

6850 N Durango Dr Ste 208
Las Vegas, NV 89149-4596
Phone (702) 835-9870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211122000624 NV Practitioner - Family Practice 4789086018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Las Vegas Medical Group LLCGroup PAC ID 6800118522, 51 clinicians

Practice addresses (Care Compare)

653 N Town Ctr Dr
Suite 306
Las Vegas, NV 89144-0517
Phone (702) 233-7950

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Medical Group LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Ucxtra Umbrella, LLC PastSince Nov 17, 2021 Accepting new patients
Dignity Health Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

1389 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (725) 333-8400

653 N Town Center Dr
Ste 306
Las Vegas, NV 89144
Phone (702) 233-7950

6850 N Durango Dr
Ste 208
Las Vegas, NV 89149
Phone (702) 835-9870

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1922663228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494596",
            "telephone_number": "702-835-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494596",
            "telephone_number": "702-388-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIYANAGE",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.