DR. ELIAS J. PTAK D.O.
NPI 1861653560
Neuromusculoskeletal Medicine & OMM in Henderson, NV

Q: What is Elias Ptak's NPI number?

The NPI number for Elias Ptak is 1861653560. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Q: What is Elias Ptak's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for Elias Ptak was last updated on October 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment

874 AMERICAN PACIFIC DR, HENDERSON, NV 89014(702) 777-4809(702) 777-4822 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Elias J. Ptak D.o. NPPES

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

DR. ELIAS J. PTAK D.O. (NPI 1861653560) is an individual neuromusculoskeletal medicine & omm provider in Henderson, Nevada, licensed in Nevada (DO1666) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1861653560

Entity TypeIndividualMale

Primary Taxonomy204D00000X

Provider Legal NameDR. ELIAS J. PTAKCredential: D.O.

Location Address874 AMERICAN PACIFIC DRHenderson, NV 89014-8800

Mailing Address1801 W Olympic Blvd # 2265Pasadena, CA 91199-0001

Phone(702) 777-4809

Fax(702) 777-4822

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJune 24, 2008

Last NPPES UpdateOctober 28, 2020

NPPES CertifiedOctober 28, 2020

✔ NPI 1861653560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

Licenses✔ Licensed in NV · DO1666✔ Licensed in CA · 20A9728

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License DO1666 (NV), 20A9728 (CA)

874 AMERICAN PACIFIC DR, Henderson, NV 89014

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Elias J. Ptak D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103979588

PECOS Enrollment IDI20120627000830

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MITCHELL DAVID FORMAN DO

Internal Medicine (Rheumatology)