NPIMap

Organization Active NPI

Reyzelman Nevada PLLC

  • Foot & Ankle Surgery Podiatrist
  • Henderson, NV
National Provider Identifier
1639046659
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
REYZELMAN NEVADA PLLC
Doing business as
Nevada Foot & Ankle
Practice address
10561 Jeffreys St Ste 110
Henderson, NV 89052-4267
Phone
(702) 456-3668
Fax
(702) 456-6688
NPI assigned
Oct 22, 2025
Organization subpart
Yes
Parent organization
REYZELMAN NEVADA PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Alexander Reyzelman, DPM
Title
Chief Medical Officer
Phone
(415) 292-0638

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

10561 Jeffreys St Ste 110
Henderson, NV 89052-4267

Mailing address

PO Box 845038
Los Angeles, CA 90084-5038
Phone (702) 565-6641

Other names 1

  • Nevada Foot & Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260206003421 NV DME Supplier - Physician - Podiatry 0840622569 Practice locations: Henderson, NV

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Reyzelman Nevada PLLC5 organizations share this tax ID, including this one
Part of
Reyzelman Nevada PLLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1639046659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845038",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845038",
            "telephone_number": "702-565-6641",
            "fax_number": "702-565-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524267",
            "telephone_number": "702-456-3668",
            "fax_number": "702-456-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYZELMAN NEVADA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REYZELMAN NEVADA PLLC",
        "enumeration_date": "2025-10-22",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "415-292-0638",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Foot & Ankle",
            "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 Jan 15, 2026; 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.