RITESH KORUMILLI M.D., M.P.H.
NPI 1417335845
Pediatrics - Pediatric Critical Care Medicine in Las Vegas, NV

Q: What is Ritesh Korumilli's NPI number?

The NPI number for Ritesh Korumilli is 1417335845. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Q: What is Ritesh Korumilli's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Ritesh Korumilli was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since May 18, 2015PECOS Enrolled

3186 S MARYLAND PKWY, LAS VEGAS, NV 89109(702) 961-5437 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ritesh Korumilli M.d., M.p.h. NPPES

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

RITESH KORUMILLI M.D., M.P.H. (NPI 1417335845) is an individual pediatric critical care medicine provider in Las Vegas, Nevada, licensed in Nevada (20960) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2012).

NPPES Registry Identity

NPI1417335845

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameRITESH KORUMILLICredential: M.D., M.P.H.

Location Address3186 S MARYLAND PKWYLas Vegas, NV 89109-2317

Mailing Address340 Se 3rd St Apt 3411Miami, FL 33131-1754 · (914) 356-1847

Phone(702) 961-5437

Sole ProprietorYes

Medical School CMSNew York Medical CollegeGraduated 2012

Enumeration DateMay 18, 2015

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1417335845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NV · 20960

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 290068 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3186 S MARYLAND PKWY, Las Vegas, NV 89109

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ritesh Korumilli M.d., M.p.h. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880931161

PECOS Enrollment IDI20260604003314

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.

Medicare Billing Reassignments

Medicare enrollment records show Ritesh Korumilli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pokroy Medical Group Of Nevada, Ltd.

11 mi

Neonatal-Perinatal Medicine

653 N TOWN CENTER DR STE 112
Las Vegas, NV 89144

Reassigned Medicare billing, Nevada enrollment
150 clinicians in this Medicare group

NPI 1992809412 (702) 733-0981

Pediatric Allergy Of Pulmonary

2,040 mi

Pediatric Pulmonology

601 ELMWOOD AVE
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
61 clinicians in this Medicare group

NPI 1013952688 (585) 275-7787

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

Other Providers at the Same Location NPPES 20

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

RADIOLOGY SPECIALISTS, LTD.

Radiology (Vascular & Interventional Radiology)