Individual provider Active NPI

Ekaterina Pletinskaya, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1245267202
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10183 Issued in NV
Practice address
888 S. Rancho Blvd.
Las Vegas, NV 89106
Phone
(702) 877-8339
Fax
(702) 258-6152
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10183 NV Primary

Addresses

Primary practice location

888 S. Rancho Blvd.
Las Vegas, NV 89106

Mailing address

2865 Siena Heights Dr
Ste 300
Henderson, NV 89052-4171
Phone (702) 616-5786

Other identifiers 1

IdentifierTypeStateIssuer
1245267202MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OR, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090109000139 NV Practitioner - Family Practice 0840223491 Reassigns benefits to 3 organizations
I20200131001997 OR Practitioner - Family Practice 0840223491 Reassigns benefits to 1 organization
I20200402002640 WA Practitioner - Family Practice 0840223491 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10183NVMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Jan 18, 2020 Accepting new patients
Dignity Health Medical Group Nevada, LLC Family Medicine CurrentSince Apr 24, 2017 Accepting new patients
Dignity Health Current Accepting new patients
Dignity Health CurrentSince Apr 24, 2017 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 8, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Dec 2, 2019 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Jun 8, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 2, 2019 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Linda L. Johnson MD, LTD Past Accepting new patients
Michael Gene Valpiani MD LTD Past Accepting new patients
Overton Urgent Care Family Medicine Past Accepting new patients

Locations

2865 Siena Heights Dr
Ste 131
Henderson, NV 89052
Phone (702) 616-6580

10001 S Eastern Ave
Ste 203
Henderson, NV 89052
Phone (702) 616-5915

888 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 877-5375

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1245267202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 SIENA HEIGHTS DR",
            "address_2": "STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524171",
            "telephone_number": "702-616-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S. RANCHO BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-877-8339",
            "fax_number": "702-258-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLETINSKAYA",
        "first_name": "EKATERINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245267202",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.