Individual provider Active NPI

Cyriac K Chemplavil, MD

  • Specialist
  • Henderson, NV
National Provider Identifier
1689853947
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4180 Issued in 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
Last updated
Jan 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4180 NV Primary

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

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
I20050920000054 NV Practitioner - Pulmonary Disease 8022042191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4180NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

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, 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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1689853947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8965 S PECOS RD",
            "address_2": "STE 11A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747158",
            "telephone_number": "702-735-4094",
            "fax_number": "702-735-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8965 S PECOS RD",
            "address_2": "#11A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747158",
            "telephone_number": "702-735-4094",
            "fax_number": "702-735-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEMPLAVIL",
        "first_name": "CYRIAC",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "4180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.