KOMAL DHANOA MD
NPI 1013369123
Family Medicine in Las Vegas, NV

Active since July 13, 2016PECOS EnrolledAccepts Medicare Assignment
2580C TEDDY DRIVE, LAS VEGAS, NV 89102(702) 968-3270(702) 949-6202 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 2, 2024, Feb 8, 2024, Sep 23, 2021 and 1 more (4 updates tracked since 2016).

About Komal Dhanoa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOMAL DHANOA MD (NPI 1013369123) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (21471) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1013369123
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKOMAL DHANOACredential: MD
Location Address2580C TEDDY DRIVELas Vegas, NV 89102
Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883
Fax(702) 949-6202
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 13, 2016
Last NPPES UpdateMay 2, 20244 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1013369123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NV · 21471 Licensed in MI · 4301110764
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2580C TEDDY DRIVE, Las Vegas, NV 89102

Other Identifiers 2

Other21471NV · State License
Medicaid1013369123NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Komal Dhanoa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012201841
PECOS Enrollment IDI20220323001145
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$13.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$64.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
2580C TEDDY DRIVE
LAS VEGAS, NV 89102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013369123, enumerated as an "individual" on July 13, 2016.

The provider is located at 2580C TEDDY DRIVE LAS VEGAS, NV 89102 and the phone number is (702) 968-3270.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.