Ellaine Sese Pingol, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10301 Issued in NV

Practice address

10001 S Eastern Ave Ste 210
Henderson
Henderson, NV 89052-3908

Phone

(702) 837-4397

Fax

(702) 837-7426

NPI assigned

May 31, 2005

Sex

Female

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

Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sports Medicine RehabilitationGroup PAC ID 5991782468, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care First Home Health Care Home health agency, Las Vegas, NV, CCN 297143

Merit-based Incentive Payment System (MIPS)

Final score

91.85 of 100Reported as group

Quality

100

Improvement activities

40

Cost

64.59

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

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

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.

• Sports Medicine Rehabilitation

  dba Family Wellness Clinic

  • Specialist
  • Henderson, NV
  • NPI 1558397059
  Medicare reassignment Care Compare group
• Dignity Health

  dba St. Rose Dominican Hospital, Siena Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  NPD (past)
• University Medical Center of Southern Nevada

  dba University Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Care First Home Care, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1104014794
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1679576060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531465",
            "address_2": "HENDERSON",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890531465",
            "telephone_number": "702-837-4397",
            "fax_number": "702-837-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE STE 210",
            "address_2": "HENDERSON",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523908",
            "telephone_number": "702-837-4397",
            "fax_number": "702-837-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINGOL",
        "first_name": "ELLAINE",
        "middle_name": "SESE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018781",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana M. Pimentel
• Pinecrest Academy of Nevada
• Justin Pineda
• Caleb Ogden Pinegar, D.O., A.T.C.
• Mario Pineiro, M.D.
• Pinnacle Chiropractic Group LLC
• Pinnacle Therapeutic Services LLC
• Michelle Pinney
• Damaris Pinto-Florez, APRN-FNP B-C
• Nancy Lee Pionke

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, 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 Feb 4, 2010; 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.