Individual provider Active NPI

Casey C Burchill, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1922437821
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2010 Issued in NV
Practice address
4750 W Oakey Blvd Ste 1a
Las Vegas, NV 89102-1535
Phone
(702) 877-5199
NPI assigned
Nov 1, 2013
Last updated
May 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001237 GA
Foot & Ankle Surgery Podiatrist 213ES0103X 2010 NV Primary

Addresses

Primary practice location

4750 W Oakey Blvd Ste 1a
Las Vegas, NV 89102-1535

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 877-5199

Other identifiers 1

IdentifierTypeStateIssuer
1922437821MedicaidNV

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
I20150611000856 NV Practitioner - Podiatry 9739400052 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crovetti Bone and Joint Institute of Southern NevadaGroup PAC ID 8527966936, 12 clinicians

Practice addresses (Care Compare)

2779 W Horizon Ridge Pkwy
Suite 200
Henderson, NV 89052-4186
Phone (702) 990-2290

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue19
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001237GAMDFoot & Ankle Surgery Podiatrist
2010NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crovetti Bone and Joint Institute of Southern Nevada CurrentSince Jun 1, 2025 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Jul 27, 2015 Accepting new patients
David Silverberg MD LTD CurrentSince Jan 1, 2023 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Jun 11, 2019 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 11, 2019 Accepting new patients
Daniel E Batlan Prof Corp PastSince Jan 1, 2023 Accepting new patients

Locations

2779 W Horizon Ridge Pkwy
Ste 200
Henderson, NV 89052
Phone 7029902290222

10040 Alta Dr
Ste 140
Las Vegas, NV 89145

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

2316 W Charleston Blvd
Ste 274
Las Vegas, NV 89102

3196 S Maryland Pkwy
Ste 112
Las Vegas, NV 89109
Phone (702) 216-2670

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

4750 W Oakey Blvd
Ste 1A
Las Vegas, NV 89102
Phone (702) 724-8844

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": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1922437821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-877-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 W OAKEY BLVD STE 1A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021535",
            "telephone_number": "702-877-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHILL",
        "first_name": "CASEY",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001237",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922437821",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.