Philip J Larsen, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0005 Issued in NV

Practice address

10561 Jeffreys St
110
Henderson, NV 89052-4179

Phone

(702) 456-3668

Fax

(702) 456-6688

NPI assigned

Aug 17, 2005

Last updated

Feb 3, 2014By the provider in NPPES

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

Enrolled in NV

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reyzelman Nevada PLLCGroup PAC ID 0840622569, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045

Merit-based Incentive Payment System (MIPS)

Final score

90.53 of 100Reported as individual

Quality

88.24

Promoting interoperability

90

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reyzelman Nevada PLLC

  dba Las Vegas Foot and Ankle Centers

  • Podiatrist
  • Henderson, NV
  • NPI 1497378517
  Medicare reassignment Care Compare group NPD
• Foot & Ankle Surgical Group, LLP

  • Foot & Ankle Surgery Podiatrist
  • Henderson, NV
  • NPI 1891748471
  Medicare reassignment NPD
• Reyzelman Nevada PLLC

  dba Nevada Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
  • NPI 1578421665
  NPD
• Roger B Reed DPM PC

  dba Las Vegas Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Henderson, NV
  • NPI 1083003891
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  dba St. Rose Dominican Hospital, Siena Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  Care Compare affiliation

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1245222181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST",
            "address_2": "#110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524266",
            "telephone_number": "702-456-3668",
            "fax_number": "702-456-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST",
            "address_2": "110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524179",
            "telephone_number": "702-456-3668",
            "fax_number": "702-456-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "PHILIP",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "0005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Larrabee
• Yemil Larramendi
• Brittany Nicole Larsen
• Kami A.K. Larsen, M.D.
• Loann Kieulam Larsen
• Victoria Christine Larsen
• Lyle Larson, MSN, APRN, FNP-C
• Las Vegas Addiction Healing Center (Allen) PC (Nevada Addiction Recovery Center)
• Las Vegas Allergy and Wellness LLC
• Las Vegas Hearing Center, LLC (Valley Hearing Center)

• Foot & Ankle Surgery Podiatrist in Henderson, NV
• Providers in Henderson, NV by specialty
• Foot & Ankle Surgery Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.