Individual provider Active NPI

Michael Thomas Rossidis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1477909786
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2087 Issued in NV
Practice address
7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356
Phone
(702) 878-0393
Fax
(702) 258-3777
NPI assigned
May 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2087 NV Primary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006730 PA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356

Mailing address

7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356
Phone (702) 878-0393

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818002213 NV Practitioner - Podiatry 7911320775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Orthopedic and Spine CenterGroup PAC ID 4284622895, 26 clinicians

Practice addresses (Care Compare)

7455 W Washington Ave
Suite 160
Las Vegas, NV 89128-4356
Phone (702) 878-0393

Hospital & facility affiliations

  • A Plus Home Health Systems, LLC Home health agency, Las Vegas, NV, CCN 297256
  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue15
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006730PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Orthopedic & Spine Center CurrentSince Aug 5, 2022 Accepting new patients
Mountain View Hospital, Inc. Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients

Locations

1505 Wigwam Pkwy
Ste 330
Henderson, NV 89074
Phone (702) 878-0393

7455 W Washington Ave
Ste 160
Las Vegas, NV 89128
Phone (702) 878-0393

Interoperability endpoints

  • Direct secure messaging: michaelrossidis@nosc.allscriptsdirect.net

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 4

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1477909786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284356",
            "telephone_number": "702-878-0393",
            "fax_number": "702-258-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284356",
            "telephone_number": "702-878-0393",
            "fax_number": "702-258-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSIDIS",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2087",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006730",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.