NPIMap

Individual provider Active NPI

Thomson Kurian Chemplavil, MD

  • Pulmonary Disease Physician
  • Henderson, NV
National Provider Identifier
1700960150
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
9370 Issued in NV
Practice address
8965 S Pecos Rd
Ste 11a
Henderson, NV 89074-7159
Phone
(702) 735-4094
Fax
(702) 735-1994
NPI assigned
Oct 24, 2006
Last updated
Jan 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 9370 NV Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 9370 NV

Addresses

Primary practice location

8965 S Pecos Rd
Ste 11a
Henderson, NV 89074-7159

Mailing address

8965 S Pecos Rd
Ste 11a
Henderson, NV 89074
Phone (702) 735-4094

Other identifiers 3

IdentifierTypeStateIssuer
P00241834OtherNVRR MCR
V101410OtherNVMEDICARE ID
002018498MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000429 NV Practitioner - Pulmonary Disease 9931195047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8965 S Pecos Rd
11A
Henderson, NV 89074-7159
Phone (702) 735-4094

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.48 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9370NVMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nocturna Sleep Center, LLC CurrentSince Oct 8, 2004 Accepting new patients
Thomson K Chemplavil MD PC Pulmonary Disease CurrentSince Jul 22, 2005 Accepting new patients
Desert Springs Hospital Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

8965 S Pecos Rd
Ste 11A
Henderson, NV 89074
Phone (702) 735-4094

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1700960150",
    "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": "89074",
            "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": "STE 11A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747159",
            "telephone_number": "702-735-4094",
            "fax_number": "702-735-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEMPLAVIL",
        "first_name": "THOMSON",
        "middle_name": "KURIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "9370",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NV",
            "license": "9370",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00241834",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "V101410",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018498",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.