NPIMap

Organization Active NPI

Reyzelman Nevada PLLC

Doing business as Nevada Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Henderson, NV
National Provider Identifier
1215754700
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
REYZELMAN NEVADA PLLC
Doing business as
Nevada Foot & Ankle
Practice address
825 N Gibson Rd Ste 430
Henderson, NV 89011-1708
Phone
(702) 565-6641
Fax
(702) 565-9249
NPI assigned
Sep 25, 2024
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
REYZELMAN NEVADA PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Alexander Reyzelman, DPMNPI 1023192721
Title
Chief Medical Officer
Phone
(415) 292-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

825 N Gibson Rd Ste 430
Henderson, NV 89011-1708

Mailing address

PO Box 845038
Los Angeles, CA 90084-5038
Phone (702) 565-6641

Other names 1

  • Nevada Foot & Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209002112 NV DME Supplier - Physician - Podiatry 0840622569 Practice locations: Henderson, NV

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Las Vegas Foot and Ankle Centers LLP5 organizations share this tax ID, including this one
Part of
Las Vegas Foot and Ankle Centers LLP

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2649 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 565-6641

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1215754700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845038",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845038",
            "telephone_number": "702-565-6641",
            "fax_number": "224-220-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N GIBSON RD STE 430",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111708",
            "telephone_number": "702-565-6641",
            "fax_number": "702-565-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYZELMAN NEVADA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REYZELMAN NEVADA PLLC",
        "enumeration_date": "2024-09-25",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.