Individual provider Active NPI

Saifallah Melliti

  • Audiologist
  • Las Vegas, NV
National Provider Identifier
1780167700
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
9748 Gilespie St Ste 330
Las Vegas, NV 89183-7618
Phone
(725) 241-8802
Fax
(702) 405-0625
NPI assigned
Sep 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

9748 Gilespie St Ste 330
Las Vegas, NV 89183-7618

Mailing address

9748 Gilespie St Ste 330
Las Vegas, NV 89183-7618
Phone (725) 241-8802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216003089 NV Practitioner - Qualified Audiologist 8921534132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Pacific University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9708 Gilespie St
Suite 109
Las Vegas, NV 89183-7614
Phone 7252418802102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melliti Medical Group PLLC Audiologist CurrentSince Nov 6, 2024 Accepting new patients

Locations

9708 Gilespie St
Ste 109
Las Vegas, NV 89183
Phone (702) 979-9910

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1780167700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9748 GILESPIE ST STE 330",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837618",
            "telephone_number": "725-241-8802",
            "fax_number": "702-405-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9748 GILESPIE ST STE 330",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837618",
            "telephone_number": "725-241-8802",
            "fax_number": "702-405-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLITI",
        "first_name": "SAIFALLAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-14",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.