Active NPI
Genadi Maltinski, M.D.
- Family Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18514
- Practice address
- 3131 La Canada St Ste 200
Las Vegas, NV 89169-2579 - Phone
- (702) 369-5582
- Fax
- (702) 650-5148
- NPI assigned
- Jan 12, 2006
- Last updated
- Apr 8, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18514 | NV | Primary |
| Family Medicine Physician | 207Q00000X | 38713-020 | WI |
Addresses
Primary practice location
3131 La Canada St Ste 200
Las Vegas, NV 89169-2579
Mailing address
PO Box 98978
Las Vegas, NV 89193-8978
Phone (702) 216-3346
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710966288 | Medicaid | NV | |
| 18514 | Other | NV | STATE LICENSE |
| 1851477913 | Other | WI | CMH NPI |
| 1134250905 | Other | WI | CMH PCC G NPI |
| 1326349135 | Other | WI | CMH SB NPI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
535 S Humboldt St
Battle Mountain, NV 89820-1988
Phone (775) 635-2550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38713-020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Battle Mountain General Hospital | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Family Medicine | Current | Accepting new patients |
| Battle Mountain General Hospital | Current | Accepting new patients | |
| Healthcare Partners Medical Group Coats LTD | Family Medicine | Current | Accepting new patients |
| Battle Mountain General Hospital | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| St Clare Memorial Hospital, Inc. | Past | Accepting new patients | |
| Community Memorial Hospital, Incorporated | Past | Accepting new patients | |
| St Clare Memorial Hospital, Inc | Past | Accepting new patients | |
| St Clare Memorial Hospital, Inc | Past | Accepting new patients | |
| Community Memorial Hospital | Past | Accepting new patients | |
| St Clare Memorial Hospital, Inc | Past | Accepting new patients | |
| Community Memorial Hospital, Incorporated | Past | Accepting new patients |
Locations
535 S Humboldt St
Battle Mtn, NV 89820
Phone (775) 635-2424
595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500
3131 La Canada St
Ste 200
Las Vegas, NV 89169
Phone (702) 369-5582
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
4920 W Lone Mountain Rd
Las Vegas, NV 89130
Phone (702) 655-0550
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Interoperability endpoints
- genadi.maltinski.1@15442.direct.athenahealth.com
- genadi.maltinskimd.p1@direct.afh.nextgenshare.com
- https://eprescribe.sanfordhealth.org/FHIR/api/FHIR/R4/
Organizations & group practices 13
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.
-
- Critical Access Hospital
- Battle Mountain, NV
- NPI 1487729083
-
dba Intermountain Health
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
Family Medicine
-
- Critical Access Hospital
- Battle Mountain, NV
- NPI 1104903103
-
- Skilled Nursing Facility
- Battle Mountain, NV
- NPI 1366658809
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
-
dba Intermountain Health Home Care
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
dba Community Memorial Hospital Social Services
- Clinical Social Worker
- Oconto Falls, WI
- NPI 1629302831
-
dba d/b/a Breast Surgery Experts of Northeast Wisconsin LLC
- Surgery Physician
- Green Bay, WI
- NPI 1093096224
-
dba d/b/a Breast Surgery Experts of Northeast Wisconsin
- Surgery Physician
- Neenah, WI
- NPI 1801177035
-
dba St Clare Memorial Hospital Physical Therapy
- Physical Therapist
- Oconto Falls, WI
- NPI 1144541285
-
- Medicare Defined Swing Bed Hospital Unit
- Oconto Falls, WI
- NPI 1326349135
-
dba St Clare Memorial Hospital Lab
- Clinical Medical Laboratory
- Oconto Falls, WI
- NPI 1780851501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1710966288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98978",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891938978",
"telephone_number": "702-216-3346",
"fax_number": "702-671-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 LA CANADA ST STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891692579",
"telephone_number": "702-369-5582",
"fax_number": "702-650-5148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALTINSKI",
"first_name": "GENADI",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "18514",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "38713-020",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710966288",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "18514",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMH NPI",
"identifier": "1851477913",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMH PCC G NPI",
"identifier": "1134250905",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMH SB NPI",
"identifier": "1326349135",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.