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SUMMIT SPECIALTY PHYSICIANS INC
NPI 1679219349
Surgery in Las Vegas, NV

Active since May 06, 2022
653 N TOWN CENTER DR STE 506, LAS VEGAS, NV 89144(617) 895-7644 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Summit Specialty Physicians Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT SPECIALTY PHYSICIANS INC (NPI 1679219349) is a healthcare organization registered as a surgery in Las Vegas, Nevada and active in the NPI registry since May 2022. The organization lists Amy Carolyn Joseph, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679219349
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSUMMIT SPECIALTY PHYSICIANS INC
Location Address653 N TOWN CENTER DR STE 506Las Vegas, NV 89144-0519
Mailing Address153 S Ring Dove DrLas Vegas, NV 89144-4351 · (617) 895-7644
Phone(617) 895-7644
Organization SubpartNo
Authorized OfficialAmy Carolyn JosephCeo · (203) 913-0661
Enumeration DateMay 6, 2022
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1679219349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
653 N TOWN CENTER DR STE 506, Las Vegas, NV 89144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summit Specialty Physicians Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Summit Specialty Physicians Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Saju Joseph, MD
General Surgery
NPI 1083870554
5380 S RAINBOW BLVD STE 330
Las Vegas, NV 89118
(702) 853-3300
✔ PECOS✔ Accepts Medicare7.5 mi
Clyde Ellis, MD
Colorectal Surgery (Proctology)
NPI 1093762908
812 GORMAN AVE
Elkins, WV 26241
(304) 636-3300
✔ PECOS✔ Accepts Medicare1,944 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Specialty Physicians Inc's NPI number?

The NPI number for Summit Specialty Physicians Inc is 1679219349. It was assigned to this organization in the NPPES registry on May 6, 2022.

Where is Summit Specialty Physicians Inc located?

Summit Specialty Physicians Inc is located at 653 N Town Center Dr Ste 506, Las Vegas, NV 89144. The listed phone number is (617) 895-7644.

What is Summit Specialty Physicians Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Summit Specialty Physicians Inc enrolled in Medicare?

Yes. Summit Specialty Physicians Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Specialty Physicians Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Summit Specialty Physicians Inc, in Colorectal Surgery (Proctology) and General Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Summit Specialty Physicians Inc accept?

Health plans from Molina Healthcare list Summit Specialty Physicians Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summit Specialty Physicians Inc was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.