Individual provider Active NPI

Martin Shill, MD

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1467422642
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
18628 Issued in NV
Practice address
2481 Professional CT
Las Vegas, NV 89128-0825
Phone
(702) 382-1599
Fax
(702) 240-4962
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 18628 NV Primary

Addresses

Primary practice location

2481 Professional CT
Las Vegas, NV 89128-0825

Mailing address

PO Box 36310
Las Vegas, NV 89133-6310
Phone (702) 382-1599

Other identifiers 1

IdentifierTypeStateIssuer
1467422642MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NV2 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

Enrollment IDStateProvider typePAC IDDetails
I20100803000887 OH Practitioner - Gastroenterology 4587652854 Reassigns benefits to 1 organization
I20200416001841 NV Practitioner - Gastroenterology 4587652854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Molin PLLCGroup PAC ID 7517406994, 12 clinicians

Practice addresses (Care Compare)

3425 Cliff Shadows Pkwy
Suite 250
Las Vegas, NV 89129-5112
Phone (702) 382-1599

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy38
Upper gastrointestinal (GI) endoscopy for acid reflux67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Molin PLLC Gastroenterology CurrentSince Sep 1, 2024 Accepting new patients
Gastroenterology Group Inc Specialist CurrentSince Jul 1, 1993 Accepting new patients
Akron Digestive Disease Consultants, Inc Gastroenterology Past Accepting new patients

Locations

3425 Cliff Shadows Pkwy
Ste 250
Las Vegas, NV 89129
Phone (702) 382-1599

570 White Pond Dr
Ste 150
Akron, OH 44320
Phone (330) 869-0173

570 White Pond Dr
Ste 200
Akron, OH 44320

Interoperability endpoints

  • Direct secure messaging: martin.shill.1@31667.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1467422642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36310",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336310",
            "telephone_number": "702-382-1599",
            "fax_number": "702-240-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 PROFESSIONAL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280825",
            "telephone_number": "702-382-1599",
            "fax_number": "702-240-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILL",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "18628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467422642",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.