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ODESSA ALELEE RARANGOL PULIDO
NPI 1669912812
Surgery - Surgical Critical Care in Las Vegas, NV

Active since March 06, 2017PECOS EnrolledAccepts Medicare Assignment
1707 W CHARLESTON BLVD STE 160, LAS VEGAS, NV 89102(702) 671-5150(702) 384-6493 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Odessa Alelee Rarangol Pulido NPPES

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

ODESSA ALELEE RARANGOL PULIDO (NPI 1669912812) is an individual surgical critical care provider in Las Vegas, Nevada, licensed in Nevada (PENDING) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with University Medical Center, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1669912812
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameODESSA ALELEE RARANGOL PULIDO
Location Address1707 W CHARLESTON BLVD STE 160Las Vegas, NV 89102-2354
Mailing Address3016 W Charleston Blvd Ste 100Las Vegas, NV 89102-1973 · (808) 220-5499
Phone(702) 671-5150
Fax(702) 384-6493
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2017
Enumeration DateMarch 6, 2017
Last NPPES UpdateMay 16, 2024
NPPES CertifiedMay 16, 2024
✔ NPI 1669912812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in NV · PENDING
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1707 W CHARLESTON BLVD STE 160, Las Vegas, NV 89102
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Secondary Practice Location 1

Location 14190 City AvePhiladelphia, PA 19131-1626 · Phone (215) 871-6690

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Odessa Alelee Rarangol Pulido 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 ID244767085
PECOS Enrollment IDI20241218002170
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 Odessa Alelee Pulido reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unlv Medicine
1.0 mi
Internal Medicine
3016 W CHARLESTON BLVD STE 100
Las Vegas, NV 89102
  • Reassigned Medicare billing, Nevada enrollment
  • 286 clinicians in this Medicare group
NPI 1407397235 (702) 895-0497

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number290007
Location1800 W Charleston BlvdLas Vegas, NV 89102 · Clark County
Emergency services Birthing friendly

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290041
Location657 Town Center DriveLas Vegas, NV 89144 · Clark County
Emergency services Birthing friendly

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.

DR. GARY K SHEN M.D.
Transplant Surgery
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
DR. MICHAEL KENNTH DALTON MD, MPH
Surgery (Trauma Surgery)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
JENNIFER RAMIREZ APRN
Nurse Practitioner (Family)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
DUSTIN LEE DILLON
Student in an Organized Health Care Education/Training Program
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (310) 825-6373
KEVIN KURUVILLA MD
Surgery (Surgical Critical Care)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
NATHALIE ISLENA RIVAS APRN
Nurse Practitioner (Family)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
RABIA NIZAMANI MD
Surgery (Surgical Critical Care)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150
YVONNE MARIE CARTER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1707 W CHARLESTON BLVD STE 160
LAS VEGAS, NV 89102
Clark County (702) 671-5150

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 Odessa Alelee Pulido's NPI number?

The NPI number for Odessa Alelee Pulido is 1669912812. It was assigned to this individual provider in the NPPES registry on March 6, 2017.

Where is Odessa Alelee Pulido located?

Odessa Alelee Pulido practices at 1707 W Charleston Blvd Ste 160, Las Vegas, NV 89102. The listed phone number is (702) 671-5150.

What is Odessa Alelee Pulido's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Odessa Alelee Pulido enrolled in Medicare?

Yes. Odessa Alelee Pulido is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Odessa Alelee Pulido's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Odessa Alelee Pulido reassigns Medicare benefits to Unlv Medicine (Las Vegas, 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 Odessa Alelee Pulido's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Odessa Alelee Pulido affiliated with any hospitals?

According to CMS data, Odessa Alelee Pulido is affiliated with University Medical Center and Summerlin Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Odessa Alelee Pulido was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.