Individual provider Active NPI

Bleselda G Paragas, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1437348265
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA702 Issued in NV
Practice address
2800 N Tenaya Way Ste 203
Las Vegas, NV 89128-1100
Phone
(702) 367-6370
Fax
(702) 307-5480
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA702 NV Primary

Addresses

Primary practice location

2800 N Tenaya Way Ste 203
Las Vegas, NV 89128-1100

Mailing address

229 N Pecos Rd Ste 100
Henderson, NV 89074-7364
Phone (702) 367-6370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180723001790 SC Practitioner - Physician Assistant 4880672617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metrolina Dermatology and Skin Surgery Specialists PLLCGroup PAC ID 3173891892, 39 clinicians

Practice addresses (Care Compare)

8208 Devon CT
Suite B
Myrtle Beach, SC 29572-4178
Phone (704) 364-6110

8212 Devon CT
Myrtle Beach, SC 29572-4178
Phone (704) 364-6110

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
81.28
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2741SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chapel Hill Dermatology, PA PastSince Aug 4, 1999 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bess1@charlottederm.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1437348265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N PECOS RD STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747364",
            "telephone_number": "702-367-6370",
            "fax_number": "702-433-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N TENAYA WAY STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281100",
            "telephone_number": "702-367-6370",
            "fax_number": "702-307-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAGAS",
        "first_name": "BLESELDA",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.