Blaine Klopotek, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2541 Issued in NV

Practice address

1181 Grier Dr Ste C
Las Vegas, NV 89119-3746

Phone

(888) 888-9930

NPI assigned

Nov 17, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

81.64 of 100Reported as group

Quality

74.27

Improvement activities

40

Cost

63.66

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Jr Medical Group LLC

  • Family Nurse Practitioner
  • Riverview, FL
  • NPI 1447029632
  NPD (past)
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1093082133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 GRIER DR STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193746",
            "telephone_number": "888-888-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 GRIER DR STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193746",
            "telephone_number": "888-888-9930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 E Warm Springs Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891194241",
            "country_code": "US",
            "telephone_number": "702-848-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOPOTEK",
        "first_name": "BLAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique Klinkner
• Sonnet J Klipp, AU.D.
• Estrellita Quirid Klock
• Nina Klonis
• Karen Deanne Klopfer, CCC-SLP
• Michelle Klopp
• Michael Andrew Kloss
• Kateryna Bahrii Klover
• Serena Ann Klugh, MD
• Linden Klugs

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.

Verify at the official NPI Registry.