Individual provider Active NPI

George A Pliagas, M.D.

  • Vascular Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1356458319
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD20942 Issued in TN
Practice address
4275 Burnham Ave Ste 102
Las Vegas, NV 89119-5488
Phone
(702) 878-8346
Fax
(702) 259-0205
NPI assigned
Aug 24, 2006
Last updated
May 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD20942 TN
Vascular Surgery Physician 2086S0129X MD20942 TN Primary

Addresses

Primary practice location

4275 Burnham Ave Ste 102
Las Vegas, NV 89119-5488

Mailing address

1525 E Beltline Ave NE Ste 101
Grand Rapids, MI 49525-4598
Phone (616) 447-8220

Other practice location 1

6408 Papermill Dr
Knoxville, TN 37919-4858
Phone (865) 588-8229

Other identifiers 1

IdentifierTypeStateIssuer
3054875MedicaidTN

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
I20200512002875 NV Practitioner - Vascular Surgery 3870667629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acv Nevada Bernstein PLLCGroup PAC ID 6800227646, 4 clinicians

Practice addresses (Care Compare)

4275 Burnham Ave
Suite 102
Las Vegas, NV 89119-5495
Phone (702) 878-8346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20942TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acv Nevada Bernstein PLLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

1525 E Beltline Ave NE
Ste 101
Grand Rapids, MI 49525
Phone (616) 363-0055

4275 Burnham Ave
Ste 102
Las Vegas, NV 89119
Phone (702) 878-8346

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1356458319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-447-8220",
            "fax_number": "616-710-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195488",
            "telephone_number": "702-878-8346",
            "fax_number": "702-259-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6408 Papermill Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194858",
            "country_code": "US",
            "telephone_number": "865-588-8229",
            "fax_number": "865-212-0163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLIAGAS",
        "first_name": "GEORGE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD20942",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD20942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3054875",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.