Active NPI
Mark J Vellek, M.D.
- Hematology & Oncology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 20944
- Practice address
- 3131 La Canada St Ste 140
Las Vegas, NV 89169-2579 - Phone
- (702) 933-9400
- Fax
- (702) 933-9444
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | C2194 | KY | |
| Hematology & Oncology Physician | 207RH0003X | 20944 | NV | Primary |
| Hematology & Oncology Physician | 207RH0003X | R5H89 | MO |
Addresses
Primary practice location
3131 La Canada St Ste 140
Las Vegas, NV 89169-2579
Mailing address
PO Box 98978
Las Vegas, NV 89193-8978
Phone (702) 216-3346
Other practice location 1
1705 E Broadway
Suite 100
Columbia, MO 65201-5852
Phone (573) 874-7800
Other practice location 2
803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1597
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171205 | Other | HEALTHLINK | |
| 106095 | Other | BCBS OF MO | |
| 1210 | Other | GHP | |
| 203284625 | Medicaid | MO | |
| 3604003 | Other | UNITED HEALTHCARE | |
| F19081 | Other | MERCY HEALTH PLANS | |
| 65201A002 | Other | TRICARE | |
| 1063409688 | Medicaid | NV | |
| 5132415 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Minnesota Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 S 8TH St
Suite 480W
Murray, KY 42071-2403
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murray-Calloway County Public Hospital Corporation | Hematology & Oncology | Current | Accepting new patients |
| Intermountain Medical Holdings Nevada Inc | Hematology & Oncology | Current | Accepting new patients |
| Murray-Calloway County Public Hospital Corporation | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Healthcare for the Mid-Columbia Region | Current | Accepting new patients | |
| Ctca Physicians Group of Illinois, Inc | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
300 S 8th St
Ste 480W
Murray, KY 42071
Phone (270) 762-1104
803 Poplar St
Murray, KY 42071
Phone (270) 762-1155
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
3131 La Canada St
Ste 140
Las Vegas, NV 89169
Phone (702) 933-9400
3131 La Canada St
Las Vegas, NV 89169
Phone (702) 636-6360
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201
1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251
1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151
Interoperability endpoints
- mark.vellek.1@9266.direct.athenahealth.com
- mark.vellek@mca.ikm.direct-ci.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
Hematology & Oncology
-
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
- Emergency Medicine Physician
- The Dalles, OR
- NPI 1497797856
-
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1154351336
-
- Multi-Specialty Clinic/Center
- Hood River, OR
- NPI 1568979680
-
- Rural Acute Care Hospital
- Murray, KY
- NPI 1063549814
-
- Multi-Specialty Clinic/Center
- Murray, KY
- NPI 1629202858
Hematology & Oncology
-
- Medical Oncology Physician
- Chicago, IL
- NPI 1073015236
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
- General Acute Care Hospital
- Murray, KY
- NPI 1073504981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1063409688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98978",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891938978",
"telephone_number": "702-216-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 LA CANADA ST STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891692579",
"telephone_number": "702-933-9400",
"fax_number": "702-933-9444"
}
],
"practiceLocations": [
{
"address_1": "1705 E Broadway",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652015852",
"country_code": "US",
"telephone_number": "573-874-7800",
"fax_number": "573-443-3627",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "803 Poplar St",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "KY",
"postal_code": "420712432",
"country_code": "US",
"telephone_number": "270-762-1597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELLEK",
"first_name": "MARK",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KY",
"license": "C2194",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NV",
"license": "20944",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MO",
"license": "R5H89",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "171205",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MO",
"identifier": "106095",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "1210",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203284625",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3604003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLANS",
"identifier": "F19081",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "65201A002",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063409688",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5132415",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.