Fikre A Mengistu (NPI# 1073812640, PAC ID# 4587883012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1073812640 |
| PAC ID by PECOS | 4587883012 |
| Professional Enrollment ID | I20160802002494 |
| Full Name | Fikre A Mengistu |
| Organization Legal Name | SOUTHERN NEVADA SURGERY SPECIALISTS LTD |
| Address |
10001 S Eastern Ave Suite 201 Henderson NV 89052-3908 |
| Phone Number | 7029142420 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9537146063 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290045 | ST ROSE DOMINICAN HOSPITALS - SIENA CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 10001 S Eastern Ave, Suite 201, Henderson, NV 89052-3908 | 7029142420 | SOUTHERN NEVADA SURGERY SPECIALISTS LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 29% | |
| MIPS_EC_047_overall | Care Plan | 29% |
| Organization Legal Name | SOUTHERN NEVADA SURGERY SPECIALISTS LTD |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lyn A Knoblock | General Surgery | Southern Nevada Surgery Specialists Ltd | 10001 S Eastern Ave, Suite 201, Henderson, NV 89052-3908 |
| Charles B Walton | General Surgery | Southern Nevada Surgery Specialists Ltd | 10001 S Eastern Ave, Suite 201, Henderson, NV 89052-3908 |
| Sean David Dort | General Surgery | Southern Nevada Surgery Specialists Ltd | 10001 S Eastern Ave, Suite 201, Henderson, NV 89052-3908 |
| Ashlee Elizabeth Justice | General Surgery | Southern Nevada Surgery Specialists Ltd | 10001 S Eastern Ave, Suite 201, Henderson, NV 89052-3908 |
| Laurel Blair | General Surgery | Southern Nevada Surgery Specialists Ltd | 10001 S Eastern Ave, Suite 201, Henderson, NV 89052-3908 |
| Gregg Mills Ripplinger | General Surgery | Southern Nevada Surgery Specialists Ltd | 10001 S Eastern Ave, Suite 201, Henderson, NV 89052-3908 |
| Street Address |
10001 S EASTERN AVE SUITE 201 |
| City | HENDERSON |
| State | NV |
| Zip | 89052-3908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara Caldwell | Nurse Practitioner | Allison Curtis Kingsley Meoz Michael and Sanchez PC | 10001 S Eastern Ave, Suite 108, Henderson, NV 89052-3908 |
| Jennifer Lorene Wilson | Nurse Practitioner | Dara J Welborn Md PC | 10001 S Eastern Ave, Suite 407, Henderson, NV 89052-3908 |
| Lyn A Knoblock | General Surgery | Southern Nevada Surgery Specialists Ltd | 10001 S Eastern Ave, Suite 201, Henderson, NV 89052-3908 |
| Matthew W Schwartz | Radiation Oncology | Allison Curtis Kingsley Meoz Michael and Sanchez PC | 10001 S Eastern Ave, Suite 108, Henderson, NV 89052-3908 |
| Brian J Lipman | Infectious Disease | Brian Jonathan Lipman Md PC | 10001 S Eastern Ave, Suite 307, Henderson, NV 89052-3908 |
| Anna Flor C Salcedo | Internal Medicine | Dara J Welborn Md PC | 10001 S Eastern Ave, Suite 407, Henderson, NV 89052-3908 |
| Dimitrios T Diamandidis | Medical Oncology | Richy Agajanian M D A Professional Corporation | 10001 S Eastern Ave, Suite 301, Henderson, NV 89052-3908 |
| Michelle Alicia Mark | Family Medicine | Dignity Health Medical Group Nevada LLC | 10001 S Eastern Ave, Suite 101, Henderson, NV 89052-3908 |
| Celeste C Atkinson | Family Medicine | Dignity Health Medical Group Nevada LLC | 10001 S Eastern Ave, Suite 101, Henderson, NV 89052-3908 |
| Robert Craig Rollins | Pediatric Medicine | William Neal Evans Md Ltd | 10001 S Eastern Ave, 300 Childrens Heart Center, Henderson, NV 89052-3908 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessila Woodson | Nurse Practitioner | Vegas Valley Primary Care | 3021 W Horizon Ridges Pkwy, Henderson, NV 89052 |
| Jayson Paulo A Agaton | Nurse Practitioner | Vegas Valley Primary Care | 3021 W Horizon Ridges Pkwy, Henderson, NV 89052 |
| Gladys G Frondarina-beltran | Nurse Practitioner | Vegas Valley Primary Care | 3021 W Horizon Ridges Pkwy, Henderson, NV 89052 |
| Elias Ugwu | Internal Medicine | Vegas Valley Primary Care | 3021 W Horizon Ridges Pkwy, Henderson, NV 89052 |
| Spencer J Quinton | Optometry | Henderson Vision Care LLC | 680 S Green Valley Pkwy, Suite 120, Henderson, NV 89052-0438 |
| Denis C Rath | Optometry | Henderson Vision Care LLC | 680 S Green Valley Pkwy, Suite 120, Henderson, NV 89052-0438 |
| Sandy Holder | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 745 S Green Valley Pkwy, Suite 160, Henderson, NV 89052-0439 |
| Paige M Hixson | Hospitalist | Platinum Hospitalists LLP | 9480 S Eastern Ave, Suite 262, Henderson, NV 89052-1234 |
| Leila Khalili | Internal Medicine | Platinum Hospitalists LLP | 9480 S Eastern Ave, Suite 262, Henderson, NV 89052-1234 |
| Shivanand Bomman Shivashanker | Internal Medicine | Platinum Hospitalists LLP | 9480 S Eastern Ave, Suite 262, Henderson, NV 89052-1234 |
| Find all physicians in zip 89052 | |||
| City | HENDERSON |
| Zip Code | 89052 |
| Specialty | GENERAL SURGERY |
| City + Specialty | HENDERSON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Fikre A Mengistu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.