VENKATA PRASANTHI GONTHINA
NPI 1528763414
Family Medicine in Las Vegas, NV

Q: What is Venkata Gonthina's NPI number?

The NPI number for Venkata Gonthina is 1528763414. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Q: What is Venkata Gonthina's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Venkata Gonthina was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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 March 31, 2023PECOS Enrolled

6210 N DURANGO DR, LAS VEGAS, NV 89149(702) 940-1540 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 14, 2026, Mar 31, 2023 (2 updates tracked since 2023).

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About Venkata Prasanthi Gonthina NPPES

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

VENKATA PRASANTHI GONTHINA (NPI 1528763414) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (29735) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1528763414

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameVENKATA PRASANTHI GONTHINA

Location Address6210 N DURANGO DRLas Vegas, NV 89149-3916

Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346

Phone(702) 940-1540

Sole ProprietorNo

Enumeration DateMarch 31, 2023

Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1528763414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · 29735

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.

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

6210 N DURANGO DR, Las Vegas, NV 89149

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Secondary Practice Location 1

Location 13333 Glendale AveToledo, OH 43614-2426 · Phone (419) 383-5502

Other Identifiers 2

Medicaid1528763414NV

Other29735NV · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Venkata Prasanthi Gonthina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Venkata Gonthina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intermountain Medical Holdings Nevada Inc

23 mi

Internal Medicine

595 W LAKE MEAD PKWY
Henderson, NV 89015

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

NPI 1245997279 (702) 566-5500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89149 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.

Other Providers at the Same Location NPPES 3

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

KWOK LUN WONG MD

Family Medicine

6210 N DURANGO DR
LAS VEGAS, NV 89149

Clark County (702) 940-1540

DR. KENNETH OSITA EDMUNDS MD

Internal Medicine

6210 N DURANGO DR
LAS VEGAS, NV 89149

Clark County (702) 940-1540

BLANCA ROCIO BOHMAN PA-C

Physician Assistant (Medical)

6210 N DURANGO DR
LAS VEGAS, NV 89149

Clark County (702) 940-1540

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 Venkata Gonthina's NPI number?

The NPI number for Venkata Gonthina is 1528763414. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Venkata Gonthina located?

Venkata Gonthina practices at 6210 N Durango Dr, Las Vegas, NV 89149. The listed phone number is (702) 940-1540.

What is Venkata Gonthina's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Venkata Gonthina enrolled in Medicare?

Yes. Venkata Gonthina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Venkata Gonthina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Venkata Gonthina reassigns Medicare benefits to Intermountain Medical Holdings Nevada Inc (Henderson, NV). The 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 Venkata Gonthina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Venkata Gonthina was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.