Jonathan Grattan Bellew, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

DO1492 Issued in NV

Practice address

2860 E Desert Inn Rd
Las Vegas, NV 89121-3605

Phone

(702) 551-9487

Fax

(702) 924-0634

NPI assigned

Aug 14, 2008

Last updated

Jul 7, 2021By 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, AZ2 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 2

Specialty

DermatologyAlso: Internal Medicine

Education

Philadelphia College of Osteopathic Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin DocsGroup PAC ID 8820427719, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

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.

• Skin Docs

  dba The Skin Docs

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1538708573
  Medicare reassignment Care Compare group NPD Authorized official
• J H Daulat DO PC

  dba Mohave Dermatology

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1194268987
  Medicare reassignment NPD
• J H Daulat DO PC

  dba Mohave Dermatology

  • Dermatology Physician
  • Pahrump, NV
  • NPI 1821534983
  NPD
• De Craig Ranch, LLC

  dba Dignity Health-St Rose Dominican Sahara

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1457895336
  NPD (past)
• Dignity Health

  dba St. Rose Dominican Hospital, Siena Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  NPD (past)
• Henderson Hospital

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1003281452
  NPD (past)
• J H Daulat DO PC

  dba Mohave Dermatology

  • Dermatology Physician
  • Mesquite, NV
  • NPI 1023554185
  NPD (past)
• Southern Hills Medical Center, LLC

  dba Southern Hills Hospital & Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1457306359
  NPD (past)
• Spring Valley Medical Center

  dba Valley Health Specialty Hospital

  • Rehabilitation Hospital Unit
  • Las Vegas, NV
  • NPI 1568439693
  NPD (past)
• Thomas Dermatology

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1922279496
  NPD (past)
• University Medical Center of Southern Nevada

  dba University Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127
  NPD (past)

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1417103094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 E DESERT INN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213605",
            "telephone_number": "702-551-9487",
            "fax_number": "702-924-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 E DESERT INN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213605",
            "telephone_number": "702-551-9487",
            "fax_number": "702-924-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLEW",
        "first_name": "JONATHAN",
        "middle_name": "GRATTAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "DO1492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Belleci
• Valerie Bellenger, DOCTORAL STUDENT
• Debora L Beller
• Peggy Lynn Beller, NP
• Julie Belles
• Jacqueline Belli
• Maria A Bellias, OTR
• Xiang Hua Bellino
• Peiyu Bellizzi
• Austin Bellmore, M.A., CCC-SLP

• Dermatology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dermatology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.