NITESH PYMAGAM REDDY DO
NPI 1659959799
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Q: What is Nitesh Reddy's NPI number?

The NPI number for Nitesh Reddy is 1659959799. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Q: What is Nitesh Reddy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nitesh Reddy was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 March 30, 2021PECOS Enrolled

3014 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89102(702) 671-5127(702) 671-6440 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Mar 30, 2021 (2 updates tracked since 2021).

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About Nitesh Pymagam Reddy Do NPPES

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

NITESH PYMAGAM REDDY DO (NPI 1659959799) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659959799

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNITESH PYMAGAM REDDYCredential: DO

Location Address3014 W CHARLESTON BLVD STE 130Las Vegas, NV 89102-0083

Mailing Address8950 Villa La Jolla Dr Ste C101La Jolla, CA 92037-1727

Phone(702) 671-5127

Fax(702) 671-6440

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 30, 2021

Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1659959799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3014 W CHARLESTON BLVD STE 130, Las Vegas, NV 89102

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nitesh Pymagam Reddy Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991106130

PECOS Enrollment IDI20251212000333

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.

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.

JOSHUA JAMES EREDICS DO

Student in an Organized Health Care Education/Training Program