1. Home
  2. Directory
  3. Nevada
  4. Henderson
  5. Anesthesiology
  6. NPI Profile

DR. SUPRIYA REDDY DASARI M.D.
NPI 1831622604
Anesthesiology in Henderson, NV

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
710 CORONADO CENTER DR STE 200, HENDERSON, NV 89052(702) 622-0395(702) 602-6800 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Supriya Reddy Dasari M.d. NPPES

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

DR. SUPRIYA REDDY DASARI M.D. (NPI 1831622604) is an individual anesthesiology provider in Henderson, Nevada, licensed in California (A159479) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2017).

NPPES Registry Identity

NPI1831622604
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. SUPRIYA REDDY DASARICredential: M.D.
Location Address710 CORONADO CENTER DR STE 200Henderson, NV 89052-4291
Mailing Address710 Coronado Center Dr Ste 200Henderson, NV 89052-4291 · (702) 622-0395
Phone(702) 622-0395
Fax(702) 602-6800
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateJanuary 10, 2023
NPPES CertifiedJanuary 10, 2023
✔ NPI 1831622604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A159479
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedInternal MedicineTaxonomy 207R00000X · License A159479 (CA)
710 CORONADO CENTER DR STE 200, Henderson, NV 89052
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

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

Dr. Supriya Reddy Dasari M.d. 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 ID2062860653
PECOS Enrollment IDI20250122002911
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

2

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

Pbs Anesthesia LLC
16 mi
Pain Medicine
7250 PEAK DR STE 100
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 71 clinicians in this Medicare group
NPI 1740403658 (702) 386-4700
Silicon Valley Anesthesia Associates, Inc.
386 mi
Anesthesiology
2340 MONTPELIER DR
San Jose, CA 95116
  • Reassigned Medicare billing, California enrollment
  • 27 clinicians in this Medicare group
NPI 1427500040 (714) 642-2134

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 3

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

LTM JOHNSON MD PLLC
Surgery
710 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Clark County (725) 356-6593
DR. CHANUKYA REDDY DASARI MD
Surgery
710 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Clark County (702) 602-6600
ROSE ORCHID MEDICAL CENTER PC
Anesthesiology
710 CORONADO CENTER DR STE 200
HENDERSON, NV 89052
Clark County (702) 622-0395

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 Supriya Dasari's NPI number?

The NPI number for Supriya Dasari is 1831622604. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Supriya Dasari located?

Supriya Dasari practices at 710 Coronado Center Dr Ste 200, Henderson, NV 89052. The listed phone number is (702) 622-0395.

What is Supriya Dasari's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Supriya Dasari enrolled in Medicare?

Yes. Supriya Dasari 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 organizations bill Medicare for Supriya Dasari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Supriya Dasari reassigns Medicare benefits to 2 organizations: Pbs Anesthesia LLC (Las Vegas, NV) and Silicon Valley Anesthesia Associates, Inc. (San Jose, CA). Each 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 Supriya Dasari'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 Supriya Dasari was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.