Individual provider Active NPI

Francis Ellyin, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1932218096
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6787 Issued in NV
Practice address
3280 N Rainbow Blvd
110
Las Vegas, NV 89108
Phone
(702) 233-4555
Fax
(702) 233-1081
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6787 NV Primary

Addresses

Primary practice location

3280 N Rainbow Blvd
110
Las Vegas, NV 89108

Mailing address

3280 N Rainbow Blvd
110
Las Vegas, NV 89108
Phone (702) 233-4555

Other identifiers 2

IdentifierTypeStateIssuer
NV9747OtherNVBLUE CROSS/BLUE SHIELD
002019551MedicaidNV

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
I20051010000473 NV Practitioner - Family Practice 1254356280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Family Care SpecialistsGroup PAC ID 6608026307, 5 clinicians

Practice addresses (Care Compare)

3280 N Rainbow Blvd
Suite 110
Las Vegas, NV 89108-5011

Merit-based Incentive Payment System (MIPS)

Final score
33.24 of 100Reported as individual
Quality
25
Improvement activities
0
Cost
77.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6787NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Family Care Specialists CurrentSince Jan 1, 1997 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

3280 N Rainbow Blvd
#110
Las Vegas, NV 89108
Phone (702) 233-4555

Organizations & group practices 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1932218096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 N RAINBOW BLVD",
            "address_2": "110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89108",
            "telephone_number": "702-233-4555",
            "fax_number": "702-233-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 N RAINBOW BLVD",
            "address_2": "110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89108",
            "telephone_number": "702-233-4555",
            "fax_number": "702-233-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLYIN",
        "first_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "6787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "NV9747",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019551",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.