NPIMap

Organization Active NPI

Orthopedic Foot and Ankle Institute, LLC

  • Orthopaedic Foot and Ankle Surgery Physician
  • Henderson, NV
National Provider Identifier
1497059240
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
Legal business name
ORTHOPEDIC FOOT AND ANKLE INSTITUTE, LLC
Practice address
3175 Saint Rose Pkwy
Suite 320
Henderson, NV 89052-3506
Phone
(702) 997-9833
Fax
(702) 666-0413
NPI assigned
Jan 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Roman Sibel, MDNPI 1790896074
Title
Owner
Phone
(702) 997-9833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0004X Primary

Addresses

Primary practice location

3175 Saint Rose Pkwy
Suite 320
Henderson, NV 89052-3506

Mailing address

3175 Saint Rose Pkwy
Suite 320
Henderson, NV 89052-3506
Phone (702) 997-9833

Other names 1

  • Comprehensive Prosthetics and Orthotics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110419000648 NV Part B Supplier - Clinic/Group Practice 1850576778 Receives reassigned benefits from 4 practitioners
Practice locations: Henderson, NV
O20110726000642 NV DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1850576778 Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4331/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1497059240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 SAINT ROSE PKWY",
            "address_2": "SUITE 320",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523506",
            "telephone_number": "702-997-9833",
            "fax_number": "702-666-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 SAINT ROSE PKWY",
            "address_2": "SUITE 320",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523506",
            "telephone_number": "702-997-9833",
            "fax_number": "702-666-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC FOOT AND ANKLE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "SIBEL",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-997-9833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.