Individual provider Active NPI

Elizabeth Mileti, DO

  • Pediatric Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1194932145
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
D01617 Issued in NV
Practice address
6565 S Buffalo Dr.
Ste 120
Las Vegas, NV 89113-2410
Phone
(702) 791-0477
Fax
(702) 791-6831
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X D01617 NV Primary
Student in an Organized Health Care Education/Training Program 390200000X TC58002004 OH

Addresses

Primary practice location

6565 S Buffalo Dr.
Ste 120
Las Vegas, NV 89113-2410

Mailing address

6565 S Buffalo Dr.
Ste 120
Las Vegas, NV 89113-2410
Phone (702) 791-0477

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
I20140107000425 NV Practitioner - Pediatric MedicinePractitioner - Gastroenterology 9739317306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Gastroenterology
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Pediatric Gastroenterology Prof AssnGroup PAC ID 4284618919, 5 clinicians

Practice addresses (Care Compare)

3196 S Maryland Pkwy
Suite 309
Las Vegas, NV 89109-2314
Phone (702) 791-0477

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D01617NVMDPediatric Gastroenterology Physician
TC58002004OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Gastroenterology Prof Assn Pediatric Gastroenterology CurrentSince Sep 21, 2013 Accepting new patients

Locations

653 N Town Center Dr
Ste 412
Las Vegas, NV 89144
Phone (702) 233-8101

3196 S Maryland Pkwy
Ste 309
Las Vegas, NV 89109
Phone (702) 791-0477

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1194932145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 S BUFFALO DR.",
            "address_2": "STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132410",
            "telephone_number": "702-791-0477",
            "fax_number": "702-791-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S BUFFALO DR.",
            "address_2": "STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132410",
            "telephone_number": "702-791-0477",
            "fax_number": "702-791-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILETI",
        "first_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NV",
            "license": "D01617",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "TC58002004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.