Active NPI
Jeremy S Tilton, DPM
- Foot & Ankle Surgery Podiatrist
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1202
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689802332 | Medicaid | NV | |
| 1497378517 | Medicaid | NV | |
| 1202 | Other | NV | NV 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 73.95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 179 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 572 |
| Removal or shaving of skin growth | 373 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reyzelman Nevada PLLC | Podiatrist | Current | Accepting new patients |
| Reyzelman Nevada PLLC | Foot & Ankle Surgery | Current | 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
- drtiltonlvfootandankle.com@weil.emadirect.md
- 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.
-
dba Nevada Foot & Ankle
- Foot & Ankle Surgery Podiatrist
- Las Vegas, NV
- NPI 1578421665
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
dba Las Vegas Foot and Ankle Center
- Foot & Ankle Surgery Podiatrist
- Henderson, NV
- NPI 1083003891
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.