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

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: October 25, 2026.

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, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Elias Ptak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Touro University
Same address
Rheumatology
874 AMERICAN PACIFIC DR
Henderson, NV 89014
  • Reassigned Medicare billing, Nevada enrollment
  • 17 clinicians in this Medicare group
NPI 1811177454 (702) 777-4809

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

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.

DUYEN CAO MEDICAL STUDENT
Student in an Organized Health Care Education/Training Program
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-8687
DR. JOHN EARL PADGETT PA-C, PHD
Physician Assistant (Medical)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-1766
DR. JACQUELINE RANDA PT
Physical Therapist (Orthopedic)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-3122
SHEETAL SHENOY
Student in an Organized Health Care Education/Training Program
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-8687
ILIANA ESTHER FUENTEZ OSUNA
Behavior Technician
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-9969
DORIS LOFTON RBT
Behavior Technician
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-4808
JENNIFER MCCONNELL RBT
Behavior Analyst
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-4808
KENNETH DOUGLAS GRANT M.D.
Internal Medicine (Rheumatology)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Clark County (702) 777-4809

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 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.

Where is Elias Ptak located?

Elias Ptak practices at 874 American Pacific Dr, Henderson, NV 89014. The listed phone number is (702) 777-4809.

What is Elias Ptak's specialty?

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

Is Elias Ptak enrolled in Medicare?

Yes. Elias Ptak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Elias Ptak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elias Ptak reassigns Medicare benefits to Touro University (Henderson, NV). The 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 Elias Ptak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elias Ptak accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Elias Ptak 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 Elias Ptak was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.