Carlos Ermocilla, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11167 Issued in NV

Practice address

150 E Harmon Ave
Las Vegas, NV 89109-4533

Phone

(702) 796-1116

Fax

(702) 692-4740

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ermocilla PCGroup PAC ID 5799290128, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Ermocilla PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1528871357
  Medicare reassignment Care Compare group NPD
• Access Primary Care Physicians, Inc.

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1750858510
  NPD
• Physicians Medical Center Kaufman, LTD

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1952356412
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1497799407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 S MARYLAND PKWY STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092302",
            "telephone_number": "702-320-3627",
            "fax_number": "702-216-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E HARMON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891094533",
            "telephone_number": "702-796-1116",
            "fax_number": "702-692-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMOCILLA",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505702",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Anthony Erling, MD
• Natalia Ermakova, APRN
• Agnes Ermi
• Lauren Elizabeth Ermi
• Ermocilla PC
• Ernest M Sussman MD
• Lakeitha Ernest
• Melissa Katheryn Ernest
• Ernesto a McCombs Chartered
• Ernesto Barbosa DMD, P.C.

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.