Individual provider Active NPI

Jeffrey B Gitlin, MD

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1548260342
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
7691 Issued in NV
Practice address
7110 Smoke Ranch Rd
Las Vegas, NV 89128-3157
Phone
(702) 869-5544
Fax
(702) 869-9993
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 7691 NV Primary
Cardiovascular Disease Physician 207RC0000X 35.062913 OH

Addresses

Primary practice location

7110 Smoke Ranch Rd
Las Vegas, NV 89128-3157

Mailing address

7110 Smoke Ranch Rd
Las Vegas, NV 89128-3157
Phone (702) 869-5544

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726001035 NV Practitioner - Cardiovascular Disease (Cardiology) 8527038819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Michigan State University College of Human Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7110 Smoke Ranch Rd
Las Vegas, NV 89128-3157

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as individual
Quality
92.29
Promoting interoperability
100
Improvement activities
40
Cost
70.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7691NVMDCardiovascular Disease Physician
35.062913OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gitlin Cardiology Prof Corp Cardiovascular Disease CurrentSince Jun 15, 2001 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Nevada Cardiology Professional Assn Cardiovascular Disease PastSince Oct 1, 2018 Accepting new patients
Desert Springs Hospital Past Accepting new patients

Locations

7110 Smoke Ranch Rd
Ste 101
Las Vegas, NV 89128

7110 Smoke Ranch Rd
Las Vegas, NV 89128
Phone (702) 869-5544

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFBICA/Endpoint/EFBICA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJCBA

Organizations & group practices 4

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 1

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548260342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 SMOKE RANCH RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157",
            "telephone_number": "702-869-5544",
            "fax_number": "702-869-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 SMOKE RANCH RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157",
            "telephone_number": "702-869-5544",
            "fax_number": "702-869-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITLIN",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "7691",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.062913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.