DR AJAY NELLUTLA INC
NPI 1356596134
Internal Medicine - Geriatric Medicine in Las Vegas, NV

Q: What is Dr Ajay Nellutla Inc's NPI number?

The NPI number for Dr Ajay Nellutla Inc is 1356596134. It was assigned to this organization in the NPPES registry on November 20, 2008.

Q: What is Dr Ajay Nellutla Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since November 20, 2008

3201 S MARYLAND PKWY, SUITE #100, LAS VEGAS, NV 89109(702) 649-8009(702) 649-8049 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr Ajay Nellutla Inc NPPES

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

DR AJAY NELLUTLA INC (NPI 1356596134) is a healthcare organization registered as a geriatric medicine in Las Vegas, Nevada and active in the NPI registry since November 2008. The organization lists Ajay K Nellutla, President, as its authorized official.

NPPES Registry Identity

NPI1356596134

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameDR AJAY NELLUTLA INC

Location Address3201 S MARYLAND PKWY, SUITE #100Las Vegas, NV 89109-2441

Mailing AddressFile # 1304-1801 W.olympic BlvdPasadena, CA 91199-1304 · (702) 938-0419 · Fax (702) 939-6954

Phone(702) 649-8009

Fax(702) 649-8049

Organization SubpartNo

Authorized OfficialAjay K NellutlaPresident · (702) 649-8009

Enumeration DateNovember 20, 2008

Last NPPES UpdateSeptember 28, 2010

✔ NPI 1356596134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in NV · 10766

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

3201 S MARYLAND PKWY, Las Vegas, NV 89109

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Other Identifiers 3

Medicaid1356596134NV

Medicare PINBM067ANV

Medicare UPINI03609NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Ajay Nellutla Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Ajay Nellutla Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ajay Nellutla, M.D.

Internal Medicine

NPI 1407913718

1700 E DESERT INN RD STE 301
Las Vegas, NV 89169

(702) 649-8009

✔ PECOS✔ Accepts Medicare0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Ajay Nellutla Inc's NPI number?

The NPI number for Dr Ajay Nellutla Inc is 1356596134. It was assigned to this organization in the NPPES registry on November 20, 2008.

Where is Dr Ajay Nellutla Inc located?

Dr Ajay Nellutla Inc is located at 3201 S Maryland Pkwy Suite #100, Las Vegas, NV 89109. The listed phone number is (702) 649-8009.

What is Dr Ajay Nellutla Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Dr Ajay Nellutla Inc enrolled in Medicare?

Yes. Dr Ajay Nellutla Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Ajay Nellutla Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dr Ajay Nellutla Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr Ajay Nellutla Inc accept?

Health plans from Molina Healthcare list Dr Ajay Nellutla Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr Ajay Nellutla Inc was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.