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DR. ARJUN PONDURI MD
NPI 1841976370
Internal Medicine - Adolescent Medicine in Las Vegas, NV

Active since June 27, 2023PECOS Enrolled
620 SHADOW LN, LAS VEGAS, NV 89106(702) 388-4000 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Arjun Ponduri Md NPPES

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

DR. ARJUN PONDURI MD (NPI 1841976370) is an individual adolescent medicine provider in Las Vegas, Nevada, licensed in Nevada (LL4063) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841976370
Entity TypeIndividualMale
Primary Taxonomy207RA0000X
Provider Legal NameDR. ARJUN PONDURICredential: MD
Location Address620 SHADOW LNLas Vegas, NV 89106-4119
Mailing Address8791 Alta Dr Ste 4041Las Vegas, NV 89145-8578
Phone(702) 388-4000
Sole ProprietorNo
Enumeration DateJune 27, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1841976370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in NV · LL4063
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
620 SHADOW LN, Las Vegas, NV 89106
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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)

Dr. Arjun Ponduri Md 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.

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.

JANN STACEY PICKENS NP
Nurse Practitioner
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4506
DR. VICTOR HOANG D.O.
Orthopaedic Surgery
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-8436
DR. KAY E MCMILLAN DO
Emergency Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4500
DR. FELIX ALEXIE DO
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
ALEX HIRSCHFELD GOLDBACH MD
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 477-6572
NASIBO KADIR MD PLLC
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
DR. JOHN YOUNG KO DO
Internal Medicine (Gastroenterology)
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-8436
DR. NICHOLAS CIURCZAK DO
Student in an Organized Health Care Education/Training Program
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000

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 Arjun Ponduri's NPI number?

The NPI number for Arjun Ponduri is 1841976370. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Arjun Ponduri located?

Arjun Ponduri practices at 620 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 388-4000.

What is Arjun Ponduri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Arjun Ponduri enrolled in Medicare?

Yes. Arjun Ponduri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Arjun Ponduri was last updated on June 27, 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.