Individual provider Active NPI

Zachary Anderson, DPM

  • Podiatrist
  • Las Vegas, NV
National Provider Identifier
1720464787
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2037 Issued in NV
Practice address
1416 S Jones Blvd
Las Vegas, NV 89146-1231
Phone
(702) 878-1400
NPI assigned
Jul 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 2037 NV Primary

Addresses

Primary practice location

1416 S Jones Blvd
Las Vegas, NV 89146-1231

Mailing address

1041 W Jordan Walk Way Apt 106
Midvale, UT 84047-4739
Phone (702) 250-0058

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190618003820 NV Practitioner - Podiatry 5597001982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Belmont W. Anderson DPM LTDGroup PAC ID 7911102389, 3 clinicians

Practice addresses (Care Compare)

1416 S Jones Blvd
Las Vegas, NV 89146-1231
Phone (702) 878-1400

Hospital & facility affiliations

  • Ultimate Home Health Home health agency, Las Vegas, NV, CCN 297260
  • Omnia Home Care LLC Home health agency, Mesquite, NV, CCN 297319

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue243
Removal of skin lesions46
Removal of nail tissue740
Removal or shaving of skin growth283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2037NVMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Omnia Wound Care, LLC CurrentSince Sep 30, 2025 Accepting new patients
Belmont W. Anderson DPM LTD Podiatrist CurrentSince Jul 1, 2019 Accepting new patients

Locations

1416 S Jones Blvd
Las Vegas, NV 89146
Phone (618) 558-3221

4425 S Pecos Rd
Ste 2
Las Vegas, NV 89121
Phone (702) 664-2192

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BECJBD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720464787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 W JORDAN WALK WAY APT 106",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474739",
            "telephone_number": "702-250-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461231",
            "telephone_number": "702-878-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ZACHARY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-31",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "2037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.