Ketan Kantilal Thanki, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Las Vegas, Nevada. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Las Vegas Medical Group Llc and his current practice location is
5320 S Rainbow Blvd Ste 302, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 382-8222.
Ketan Kantilal Thanki is licensed to practice in Nevada (license number 21638) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093058869.
Physician's Profile
| Full Name | Ketan Kantilal Thanki |
|---|
| Gender | Male |
|---|
| Speciality | General Surgery |
|---|
| Experience | 12 Years |
|---|
| Location | 5320 S Rainbow Blvd Ste 302, Las Vegas, Nevada |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Ketan Kantilal Thanki graduated from medical school in 2013
NPI Data:
- NPI Number: 1093058869
- Provider Enumeration Date: 03/30/2013
- Last Update Date: 08/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850782475
- Enrollment ID: I20211215001522
Medical Identifiers
Medical identifiers for Ketan Kantilal Thanki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093058869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 21638 (Nevada) | Secondary |
| 208C00000X | Colon & Rectal Surgery | A203266 (California) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 21638 (Nevada) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Las Vegas Medical Group Llc | 6800118522 | 44 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ketan Kantilal Thanki allows following entities to bill medicare on his behalf.
| Entity Name | Las Vegas Medical Group Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1447656988
PECOS PAC ID: 6800118522
Enrollment ID: O20141209001376 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ketan Kantilal Thanki is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ketan Kantilal Thanki, MD
367 S Gulph Rd,
King Of Prussia, PA 19406-3121
Ph: (702) 382-8222 | Ketan Kantilal Thanki, MD
5320 S Rainbow Blvd Ste 302,
Las Vegas, NV 89118-1896
Ph: (702) 382-8222 |
Reviews and Comments