Individual provider Active NPI

Janel Pietryga

  • Orthopaedic Surgery Physician
  • Last Vegas, NV
National Provider Identifier
1518498625
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
23018 Issued in NV
Practice address
2231 W Charleston Blvd
Last Vegas, NV 89102
Phone
(702) 383-2663
Fax
(702) 383-2682
NPI assigned
Mar 22, 2017
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A176709 CA
Orthopaedic Surgery Physician 207X00000X 23018 NV Primary

Addresses

Primary practice location

2231 W Charleston Blvd
Last Vegas, NV 89102

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 383-2000

Other practice location 1

537 Aliso Dr NE
Albuquerque, NM 87108-1008
Phone (505) 417-7165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20220805002835 CA Practitioner - Orthopedic Surgery 5890066120 Reassigns benefits to 1 organization
I20230918001812 NV Practitioner - Orthopedic Surgery 5890066120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2231 W Charleston Blvd
Las Vegas, NV 89102-2254
Phone (702) 383-2663

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176709CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Orthopaedic Surgery CurrentSince Jul 1, 2022 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Oct 3, 2023 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2022 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Oct 3, 2023 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720

11860 Southern Highlands Pkwy
Ste 100
Las Vegas, NV 89141
Phone (702) 383-2663

11860 Southern Highlands Pkwy
Ste 102
Las Vegas, NV 89141
Phone (702) 737-2273

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2231 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 383-2663

4231 N Rancho Dr
Las Vegas, NV 89130
Phone (702) 383-3800

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1518498625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 W CHARLESTON BLVD",
            "city": "LAST VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2663",
            "fax_number": "702-383-2682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 Aliso Dr NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871081008",
            "country_code": "US",
            "telephone_number": "505-417-7165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIETRYGA",
        "first_name": "JANEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-08-30",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A176709",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "23018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Last Vegas, NV

Sources for this page

Verify at the official NPI Registry.