Individual provider Active NPI

Jason Michael Bellak, MD

  • Allergy & Immunology Physician
  • Las Vegas, NV
National Provider Identifier
1407951700
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
21151 Issued in NV
Practice address
2625 Box Canyon Dr
Las Vegas, NV 89128-0450
Phone
(702) 360-6100
Fax
(702) 360-8096
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 21151 NV Primary

Addresses

Primary practice location

2625 Box Canyon Dr
Las Vegas, NV 89128-0450

Mailing address

2625 Box Canyon Dr
Las Vegas, NV 89128-0450
Phone (702) 360-6100

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
I20211117003046 NV Practitioner - Allergy/Immunology 1355380817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Nevada School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Center- Katz, M.D., LTD.Group PAC ID 4789646266, 2 clinicians

Practice addresses (Care Compare)

2625 Box Canyon Dr
Las Vegas, NV 89128-0450
Phone (702) 360-6100

Merit-based Incentive Payment System (MIPS)

Final score
22.44 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48534WIMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Center-Katz, M.D., LTD. Allergy & Immunology CurrentSince May 1, 2023 Accepting new patients
Allergy Asthma Clinic LTD Allergy & Immunology PastSince Jul 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2625 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 360-6100

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1407951700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BOX CANYON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280450",
            "telephone_number": "702-360-6100",
            "fax_number": "702-360-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BOX CANYON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280450",
            "telephone_number": "702-360-6100",
            "fax_number": "702-360-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAK",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NV",
            "license": "21151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.