Individual provider Active NPI

Jeremy S Tilton, DPM

  • Foot & Ankle Surgery Podiatrist
  • Henderson, NV
National Provider Identifier
1689802332
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1202 Issued in NV
Practice address
2649 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4801
Phone
(702) 565-6664
Fax
(702) 565-9249
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1202 NV Primary

Addresses

Primary practice location

2649 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4801

Mailing address

2649 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4801
Phone (702) 565-6664

Other practice location 1

825 N Gibson Rd Ste 430
Henderson, NV 89011-1708
Phone (702) 565-6641

Other identifiers 3

IdentifierTypeStateIssuer
1689802332MedicaidNV
1497378517MedicaidNV
1202OtherNVNV PO LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120605000729 NV Practitioner - Podiatry 0547424475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reyzelman Nevada PLLCGroup PAC ID 0840622569, 11 clinicians

Practice addresses (Care Compare)

2649 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-4801
Phone (702) 565-6641

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as individual
Quality
73.95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue179
Removal of skin lesions13
Removal of nail tissue572
Removal or shaving of skin growth373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reyzelman Nevada PLLC Podiatrist CurrentSince Nov 17, 2025 Accepting new patients
Reyzelman Nevada PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Henderson Hospital Past Accepting new patients
Roger B Reed DPM PC Foot & Ankle Surgery Past Accepting new patients

Locations

2649 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 565-6641

825 N Gibson Rd
Ste 430
Henderson, NV 89011
Phone (702) 565-6641

5435 Reno Corporate Dr
Ste 200
Reno, NV 89511
Phone (775) 324-1122

Interoperability endpoints

  • Direct secure messaging: drtiltonlvfootandankle.com@weil.emadirect.md
  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1689802332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524801",
            "telephone_number": "702-565-6664",
            "fax_number": "702-565-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524801",
            "telephone_number": "702-565-6664",
            "fax_number": "702-565-9249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 N Gibson Rd Ste 430",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890111708",
            "country_code": "US",
            "telephone_number": "702-565-6641",
            "fax_number": "702-565-9249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILTON",
        "first_name": "JEREMY",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689802332",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497378517",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV PO LICENSE",
            "identifier": "1202",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.