Individual provider Active NPI

Joseph A Delappi, P.A.C.

  • Surgical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1265499586
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA743 Issued in NV
Practice address
8025 Dark Hollow PL
Las Vegas, NV 89117-7616
Phone
(702) 948-8897
Fax
(702) 549-3178
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA743 NV Primary

Addresses

Primary practice location

8025 Dark Hollow PL
Las Vegas, NV 89117-7616

Mailing address

8550 W Desert Inn Rd
Ste. 102-425
Las Vegas, NV 89117-4401
Phone (702) 496-6985

Other practice location 1

653 N Town Center Dr Ste 602
Las Vegas, NV 89144-0520
Phone (702) 888-1188

Other identifiers 3

IdentifierTypeStateIssuer
970026602OtherNVRAILROAD MEDICARE
2402203MedicaidNV
708315MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040511001639 NV Practitioner - Physician Assistant 8224027487 Reassigns benefits to 2 organizations
I20090615000299 AZ Practitioner - Physician Assistant 8224027487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10835 Horizon Ledge Ave
Las Vegas, NV 89135-3662
Phone (702) 496-9685

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4394AZMDGeneral Practice Dentistry
PA743NVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Forage Anson Neurosurgical LLP CurrentSince Mar 5, 2018 Accepting new patients

Locations

1972 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (702) 896-0940

861 Coronado Center Dr
Ste 200
Henderson, NV 89052
Phone (702) 896-0940

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

Interoperability endpoints

  • Direct secure messaging: jdelappi66384@direct.umcsn.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265499586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 W DESERT INN RD",
            "address_2": "STE. 102-425",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174401",
            "telephone_number": "702-496-6985",
            "fax_number": "702-925-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 DARK HOLLOW PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177616",
            "telephone_number": "702-948-8897",
            "fax_number": "702-549-3178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 N Town Center Dr Ste 602",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891440520",
            "country_code": "US",
            "telephone_number": "702-888-1188",
            "fax_number": "702-476-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAPPI",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970026602",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2402203",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "708315",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.