Active NPI
Fatehali Peera, MD
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1952500845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 16520
- Practice address
- 1524 Pinto LN FL 3
Las Vegas, NV 89106 - Phone
- (702) 992-6868
- Fax
- (702) 992-6860
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Q4824 | TX | |
| Pediatrics Physician | 208000000X | 82189 | AZ | |
| Pediatrics Physician | 208000000X | 16520 | NV | Primary |
Addresses
Primary practice location
1524 Pinto LN FL 3
Las Vegas, NV 89106
Mailing address
3016 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1973
Phone (702) 780-2315
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82189 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlv Medicine | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients | |
| Healthcare Partners Medical Group Coats LTD | Family Medicine | Current | Accepting new patients |
| Unlv Medicine | Current | Accepting new patients | |
| El Rio Santa Cruz Neighborhood Health Center | Past | Accepting new patients | |
| Northwest Allied Physicians, LLC | Past | Accepting new patients | |
| Northwest Allied Physicians LLC | Past | Accepting new patients |
Locations
1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300
1524 Pinto Ln
Fl 3
Las Vegas, NV 89106
Phone (702) 944-2828
3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315
Interoperability endpoints
- fatehali.peera@direct.myteamcare.com
Organizations & group practices 7
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.
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- Family Medicine Physician
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-
- Community/Retail Pharmacy
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- NPI 1184152274
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1538694575
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1528487782
-
- General Practice Physician
- Tucson, AZ
- NPI 1003833179
-
- Durable Medical Equipment & Medical Supplies
- Oro Valley, AZ
- NPI 1821302910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1952500845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 W CHARLESTON BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021973",
"telephone_number": "702-780-2315",
"fax_number": "702-895-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 PINTO LN FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-992-6868",
"fax_number": "702-992-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEERA",
"first_name": "FATEHALI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q4824",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "82189",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "16520",
"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 Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.