Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518161181 Individual Practitioner Male Practitioner

Dr. Dheeresh Kumar Mamidi , MD

Pediatrics • Las Vegas, NV

Professional Overview & Biography Verified Profile Summary

Dr. Dheeresh Mamidi, MD is a registered healthcare professional specializing in Pediatrics in Las Vegas, NV. Practice services are available at 8350 W BADURA AVE FL 2 STE F under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8350 W Badura Ave Fl 2 Ste F

Las Vegas, NV 891132383

Telephone 7024355437
Fax 7028519640
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
214 Specialists

Practicing in Las Vegas, NV (391 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NV 12531

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1518161181 (NV)
Commercial Insurance / Payer ID License
12531 (NV)

Secondary Practice Locations

1430 E Calvada Blvd, Suite #300

Pahrump, NV 890485824

Phone: 7757514600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Alexis Pierce , PHYSICIAN ASSISTANT

Physician Assistant - Medical

NPI 1063802536

PHYSICIANASSISTANT

Elizabeth Brugger , APRN

Nurse Practitioner - Pediatrics

NPI 1225574973

Advanced Practice Registered Nurse

NPI 1407163066

Doctor of Medicine (M.D.)

NPI 1649232786

Doctor of Medicine (M.D.)

NPI 1912138470

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 24, 2026

Registered at 8350 W BADURA AVE FL 2 STE F, LAS VEGAS, NV 891132383 (Tel: 7024355437)

📍
Updated Practice Location April 20, 2026

Registered at 8350 BADURA AVE FL 2, LAS VEGAS, NV 891132383 (Tel: 7024355437)

📍
Updated Practice Location November 03, 2022

Registered at 5575 S DURANGO DR STE 103, LAS VEGAS, NV 891131834 (Tel: 7024355437)

📍
Updated Business Mailing Address November 03, 2022

Registered at 6355 S BUFFALO DR FL 3, LAS VEGAS, NV 891132133 (Tel: 7022163346)

NPI Profile Active July 05, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2011

Registered at 1430 E CALVADA BLVD, SUITE #300, PAHRUMP, NV 890485824 (Tel: 7757514600)

📍
Updated Business Mailing Address July 05, 2011

Registered at PO BOX 98978, LAS VEGAS, NV 891938978 (Tel: 7025072430)

👤
Provider Name / Credentials Updated July 05, 2011

Recorded as DHEERESH MAMIDI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2011

Pediatrics (License #12531 in NV)

🟢
Initial NPI Registration & Enumeration June 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518161181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2007
Last Update: June 24, 2026
Sole Proprietor: No

Mailing Address

6355 S Buffalo Dr Fl 3

Las Vegas, NV 891132133

Phone: 7022163346

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.