Active NPI
Daniel Joseph Delrossi, PA-C
- Physician Assistant
- Henderson, NV
National Provider Identifier
1487976130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1202
- Practice address
- 291 N Pecos Rd
Henderson, NV 89074-1918 - Phone
- (702) 435-1995
- NPI assigned
- Feb 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1202 | NV | Primary |
Addresses
Primary practice location
291 N Pecos Rd
Henderson, NV 89074-1918
Mailing address
325 Manti PL
Henderson, NV 89014-7623
Phone (702) 768-7019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben Kermani, M.D., LTD | Past | Accepting new patients | |
| Ageless Men'S Health NV, LLC | Past | Accepting new patients | |
| Total Orthopedics LLC | Past | Accepting new patients |
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.
-
- Urology Physician
- Las Vegas, NV
- NPI 1023330230
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1922126952
-
- Multi-Specialty Clinic/Center
- Henderson, NV
- NPI 1447495858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1487976130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MANTI PL",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890147623",
"telephone_number": "702-768-7019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 N PECOS RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890741918",
"telephone_number": "702-435-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELROSSI",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-23",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.