Individual provider Active NPI

Jeylan A El-Mansoury, MD

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1639157720
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
18817 Issued in NV
Practice address
5871 W Craig Rd
Las Vegas, NV 89130-2575
Phone
(702) 724-2020
Fax
(702) 724-2800
NPI assigned
Jan 9, 2006
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 18817 NV Primary
Ophthalmology Physician 207W00000X MD058408L PA

Addresses

Primary practice location

5871 W Craig Rd
Las Vegas, NV 89130-2575

Mailing address

5871 W Craig Rd
Las Vegas, NV 89130-2575
Phone (702) 724-2020

Other identifiers 1

IdentifierTypeStateIssuer
1643417MedicaidPA

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
I20190521003465 NV Practitioner - Ophthalmology 1951450527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sight Eva I Liang MD PCGroup PAC ID 0840443180, 15 clinicians

Practice addresses (Care Compare)

5871 W Craig Rd
Las Vegas, NV 89130-2575
Phone (702) 724-2020

Merit-based Incentive Payment System (MIPS)

Final score
94.54 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD058408LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sight Eva I Liang MD PC Single Specialty CurrentSince Apr 15, 2019 Accepting new patients
Advanced Care Podiatry, LLC Single Specialty Past Accepting new patients
Jonathan M Grohsman MD Ophthalmology Past Accepting new patients
Advanced Care Podiatry, LLC Single Specialty Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
City of Phila Trustee Acting by the BRD of Dir of City Trusts Single Specialty Past Accepting new patients
Temple University Hospital, Inc Past Accepting new patients

Locations

871 Coronado Center Dr
Ste 130
Henderson, NV 89052
Phone (702) 724-2020

2870 S Maryland Pkwy
Ste 300
Las Vegas, NV 89109
Phone (702) 702-2002

330 S Rampart Blvd
Ste 360
Las Vegas, NV 89145
Phone (702) 724-2020

5840 W Craig Rd
Ste 120
Las Vegas, NV 89130
Phone (702) 468-6688

5871 W Craig Rd
Las Vegas, NV 89130
Phone (702) 724-2020

7425 Peak Dr
#120
Las Vegas, NV 89128

1430 E Calvada Blvd
Ste 600
Pahrump, NV 89048
Phone (775) 375-5995

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1639157720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5871 W CRAIG RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302575",
            "telephone_number": "702-724-2020",
            "fax_number": "702-724-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5871 W CRAIG RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302575",
            "telephone_number": "702-724-2020",
            "fax_number": "702-724-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-MANSOURY",
        "first_name": "JEYLAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "18817",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD058408L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1643417",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.