Individual provider Active NPI

Gennadiy Plotnitskiy, D.O.

  • Obstetrics & Gynecology Physician
  • Henderson, NV
National Provider Identifier
1891011359
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1525 Issued in NV
Practice address
1552 W Warm Springs Rd Ste 100
Henderson, NV 89014-4328
Phone
(702) 933-5544
Fax
(702) 933-5545
NPI assigned
Apr 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1525 NV Primary
Obstetrics & Gynecology Physician 207V00000X 256077 NY

Addresses

Primary practice location

1552 W Warm Springs Rd Ste 100
Henderson, NV 89014-4328

Mailing address

1552 W Warm Springs Rd Ste 100
Henderson, NV 89014-4328
Phone (702) 933-5544

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
I20180306002420 NV Practitioner - Obstetrics/Gynecology 6507133667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5320 S Rainbow Blvd
Suite 150
Las Vegas, NV 89118-1807
Phone (702) 944-7105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1525NVMDObstetrics & Gynecology Physician
256077NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc Obstetrics & Gynecology CurrentSince Jan 6, 2025 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 6, 2025 Accepting new patients
Las Vegas Medical Group LLC Obstetrics & Gynecology CurrentSince Mar 14, 2022 Accepting new patients
Robert Toledo DO LTD Obstetrics & Gynecology CurrentSince Mar 1, 2018 Accepting new patients
Dignity Health PastSince Mar 1, 2018 Accepting new patients
Henderson Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

1389 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (725) 333-8400

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

1552 W Warm Springs Rd
Ste 100
Henderson, NV 89014
Phone (702) 515-9917

2598 Windmill Pkwy
Ste 110
Henderson, NV 89074
Phone (702) 933-5544

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

5320 S Rainbow Blvd
Ste 150
Las Vegas, NV 89118
Phone (702) 944-7105

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 8

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1891011359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 W WARM SPRINGS RD STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890144328",
            "telephone_number": "702-933-5544",
            "fax_number": "702-933-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 W WARM SPRINGS RD STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890144328",
            "telephone_number": "702-933-5544",
            "fax_number": "702-933-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTNITSKIY",
        "first_name": "GENNADIY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "1525",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "256077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.