Individual provider Active NPI

Frank Joel McAllister, DO

  • Allergy & Immunology (Internal Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1114955762
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
525 Issued in NV
Practice address
7435 W Azure Dr
Suite 190
Las Vegas, NV 89130-4426
Phone
(702) 363-3666
Fax
(702) 363-0118
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 525 NV Primary

Addresses

Primary practice location

7435 W Azure Dr
Suite 190
Las Vegas, NV 89130-4426

Mailing address

7435 W Azure Dr
Suite 190
Las Vegas, NV 89130-4426
Phone (702) 363-3666

Other identifiers 4

IdentifierTypeStateIssuer
NV1221OtherNVBLUE CROSS BLUE SHIELD
110051801OtherNVRR MEDICARE
002019410MedicaidNV
AR415ZOtherNVMEDICARE PROVIDER NUMBER

Other names 1

  • Ms. Diane Lynne Mihalko Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000121 NV Practitioner - Internal Medicine 0042235038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1114955762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 W AZURE DR",
            "address_2": "SUITE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304426",
            "telephone_number": "702-363-3666",
            "fax_number": "702-363-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 W AZURE DR",
            "address_2": "SUITE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304426",
            "telephone_number": "702-363-3666",
            "fax_number": "702-363-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "FRANK",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NV",
            "license": "525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NV1221",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110051801",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019410",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "AR415Z",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MIHALKO",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.