RD PRABHU-LATA K SHETE MDS LTD – Multi-Specialty Clinic/Center, NPI 1912995309

RD PRABHU-LATA K SHETE MDS LTD is a healthcare provider. based in Las vegas, Nevada. specializing in Multi-Specialty Clinic/Center. The NPI Number for RD PRABHU-LATA K SHETE MDS LTD is 1912995309

Main info

Organization
Name
RD PRABHU-LATA K SHETE MDS LTD
NPI
1912995309
Phone
(702) 877-9514
Address
5701 W CHARLESTON BLVD
Authorized Official
RACHAKONDA DAYANANDA PRABHU PRESIDENT MD
Enumeration Date
10 October 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for RD PRABHU-LATA K SHETE MDS LTD

  • West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States

    SUITE 100

    LAS VEGAS, NV 891461217

    Phone: (702) 877-9514

    Fax: (702) 312-3510

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-23

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
O20250923004378OSleep Laboratory/MedicineNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89146)

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Reviews

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Frequently asked questions

What identifier follows RD PRABHU-LATA K SHETE MDS LTD across health systems?
The NPI 1912995309 uniquely identifies RD PRABHU-LATA K SHETE MDS LTD in U.S. healthcare data.
Does the public listing show RD PRABHU-LATA K SHETE MDS LTD as active?
RD PRABHU-LATA K SHETE MDS LTD's NPI record reflects an active status in NPPES.
What type of care does RD PRABHU-LATA K SHETE MDS LTD provide?
RD PRABHU-LATA K SHETE MDS LTD's profile centers on Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Can patients visit RD PRABHU-LATA K SHETE MDS LTD in Las Vegas, Nevada?
For routing, start with Las Vegas, Nevada for RD PRABHU-LATA K SHETE MDS LTD, then verify phone and hours locally.
Who maintains RD PRABHU-LATA K SHETE MDS LTD's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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