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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Prita Tandyasraya, M.D.

Neurology Physician in Nellis Afb, NV · enumerated 2017.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144754979

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Registry record

Entity type Individual (Type 1)
Name Prita Tandyasraya
Credential M.D.
Sex Female
Practice address 4700 Las Vegas Blvd N, Nellis Afb, NV, 89191
Fax (702) 653-2378
Enumeration date Apr 19, 2017
Last updated in NPPES Mar 16, 2026

Taxonomy & licenses

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 63541 (AZ) Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License ME165558 (FL) Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License R76053 (AZ) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1144754979 active?
Yes, as of the latest NPPES snapshot, NPI 1144754979 is active (record last updated 2026-03-16).
How do I verify Prita Tandyasraya's NPI record?
Cross-check NPI 1144754979 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-16.