Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ketan Kantilal Thanki, MD

Individual provider Surgery Physician · NPI 1093058869

Ketan Kantilal Thanki, MD is a General Surgery in Las Vegas, Nevada. Qualified in 2013, 13 years ago. Practices with Las Vegas Medical Group LLC, a 49-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Nevada.

Years since qualifying
13
Licensed in
CA, NV
In the registry since
2013
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5320 S Rainbow Blvd Ste 302
Las Vegas, NV 89118-1896
Phone: (702) 382-8222
Fax: (702) 563-3390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2810 Long Beach Blvd Fl 3, Long Beach, CA 90806-1558 — (562) 933-4752

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 21638 (NV)
Surgery Physician Taxonomy 208600000X · Licence 21638 (NV)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence A203266 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093058869
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2013
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Las Vegas Medical Group Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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