Cyriac K Chemplavil, MD
Individual provider Active NPI Specialist · Henderson, NV
NPI 1689853947 · NPPES record last updated Jan 6, 2014
Key facts
- NPI
- 1689853947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 4180 (NV)
- Practice address
- 8965 S Pecos Rd
#11A
Henderson, NV 89074-7158 - Phone
- (702) 735-4094
- Fax
- (702) 735-1994
- NPI assigned
- Nov 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8965 S Pecos Rd
Suite 11a
Henderson, NV 89074-7159
Phone (702) 735-4094
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.85 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 72.85
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050920000054 | NV | Practitioner - Pulmonary Disease | 8022042191 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4180 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Desert Springs Hospital | Past | Accepting new patients | |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4180 | NV | Yes |
Addresses
Primary practice location
8965 S Pecos Rd
#11A
Henderson, NV 89074-7158
Mailing address
8965 S Pecos Rd
Ste 11a
Henderson, NV 89074-7158
Phone (702) 735-4094
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002002956 | Medicaid | NV |
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.