Dheeresh Kumar Mamidi, MD in Las Vegas, NV

Dheeresh Kumar Mamidi, MD is a medicare enrolled "Pediatrics" physician in Las Vegas, Nevada. His current practice location is 5575 S Durango Dr Ste 103, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 435-5437.

Dheeresh Kumar Mamidi is licensed to practice in Nevada (license number 12531) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518161181.

Contact Information

	Dheeresh Kumar Mamidi, MD
	5575 S Durango Dr Ste 103, Las Vegas, NV 89113-1834
	(702) 435-5437
	(702) 851-9640

Map and Direction

Physician's Profile

Full Name	Dheeresh Kumar Mamidi
Gender	Male
Speciality	Pediatrics
Location	5575 S Durango Dr Ste 103, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518161181
Provider Enumeration Date: 06/14/2007
Last Update Date: 11/03/2022

Medicare PECOS Information:

PECOS PAC ID: 4587841739
Enrollment ID: I20110615000651

Medical Identifiers

Medical identifiers for Dheeresh Kumar Mamidi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518161181	NPI	-	NPPES
1518161181	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	12531 (Nevada)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dheeresh Kumar Mamidi allows following entities to bill medicare on his behalf.

Entity Name	Healthcare Partners Medical Group Coats Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487631917 PECOS PAC ID: 5991866303 Enrollment ID: O20100113000898

Entity Name	Intermountain Medical Holdings Nevada Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245997279 PECOS PAC ID: 7416054622 Enrollment ID: O20220214001765

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dheeresh Kumar Mamidi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dheeresh Kumar Mamidi, MD 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133 Ph: (702) 216-3346	Dheeresh Kumar Mamidi, MD 5575 S Durango Dr Ste 103, Las Vegas, NV 89113-1834 Ph: (702) 435-5437

Reviews and Comments

Pediatrics Doctors in Las Vegas, NV

Randi E Lampert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2050 Mariner Dr, Suite #150, Las Vegas, NV 89128 Phone: 702-228-9066
Sora Song, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3201 S Maryland Pkwy Ste 608, Las Vegas, NV 89109 Phone: 702-457-5437 Fax: 702-464-5801
Dr. Noah Benjamin Kohn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1800 W. Charleston Blvd., Las Vegas, NV 89102 Phone: 702-383-2000 Fax: 888-456-2467
David Blank, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10105 Banburry Cross Dr, Suite 370, Las Vegas, NV 89144 Phone: 702-260-4525 Fax: 702-869-0133
Vicki Hom, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4570 S. Eastern Ave, Suite #21, Las Vegas, NV 89119 Phone: 702-733-6033 Fax: 702-733-6033
Ms. Elsa H Von Schulenburg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4800 Alpine Pl, Suite 10, Las Vegas, NV 89107 Phone: 702-851-3572 Fax: 702-851-3574
Ruben J Acherman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3131 La Canada St Ste 230, Las Vegas, NV 89169 Phone: 702-732-1290 Fax: 702-732-1385

Dheeresh Kumar Mamidi, MD - Medicare Pediatrics in Las Vegas, NV