DR. SAMIR BANGALORE (MD) – Epilepsy Physician, NPI 1043423874

DR. SAMIR BANGALORE (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 12462 (NV). The NPI Number for DR. SAMIR BANGALORE (MD) is 1043423874

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMIR BANGALORE (MD)
NPI
1043423874
Phone
(702) 731-8115
Address
3131 LACANADA STREET
Enumeration Date
8 May 2007
Last Update Date
8 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6158235800
Graduation Year
2002 (24 years ago)
PAC ID
5890879985
Group Practice PAC ID
6800845702
Professional Enrollment ID
I20240702000377
Address ID
TN370752479HE355XXRDXX500

Contacts

Secure Messaging
SAMIR.BANGALORE@hca3.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

165 NEUROLOGY in NV

Provider Addresses for DR. SAMIR BANGALORE (MD)

  • 3131 LACANADA STREET

    SUITE 101

    LAS VEGAS, NV 891692592

    Phone: (702) 731-8115

    Fax: (702) 784-7844

    Type: Location

  • 3443 DICKERSON PIKE STE 580

    NASHVILLE, TN 372072526

    Phone: (158) 601-0606

    Fax: (158) 601-2426

    Type: Location

  • La Canada Street, Filipino Town, Winchester, Clark County, Nevada, 89104, United States

    SUITE 101

    LAS VEGAS, NV 891692578

    Phone: (702) 731-8115

    Fax: (702) 784-7844

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 172 Open Payments records for all available years, with a total value of $51,424.

Total Amount is formed as General ($51,424) + Research ($0) + Ownership ($0) = $51,424.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: SK Life Science, Inc. ($25,443).

Total Amount

$51,424

General + Research + Ownership

Payments

172

Total payment records

General Amount

$51,424

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240702000377INeurologyTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes16385$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15484$0
95816Measurement of brain wave activity (eeg), awake and drowsy107103$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes105104$0
99214Established patient office or other outpatient visit, 30-39 minutes10272$0
View full utilization report →

Insurance plans in this area (ZIP 89169)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800845702View full group profile
NameSpecialtyState
N E U R O L O G YTN
Neurology, Internal MedicineTN
N E U R O L O G YTN
-TN
Nurse PractitionerTN
Physician AssistantNC
N E U R O L O G YTN
N E U R O L O G YTN
N E U R O L O G YWV
N E U R O L O G YTN

Reviews

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Frequently asked questions

Is there an official ID for DR. SAMIR BANGALORE (MD) in U.S. healthcare records?
The official identifier for DR. SAMIR BANGALORE (MD) is NPI 1043423874.
Is DR. SAMIR BANGALORE (MD) shown as active in public data?
Registry records indicate DR. SAMIR BANGALORE (MD) maintains an active NPI.
What expertise is attributed to DR. SAMIR BANGALORE (MD)?
DR. SAMIR BANGALORE (MD)'s specialty line reads Epilepsy Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SAMIR BANGALORE (MD)?
Travel planning: use Las Vegas, Nevada as the reference point for DR. SAMIR BANGALORE (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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