DARRYL L. FORTSON M D – NPI #1538255823
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

DARRYL FORTSON is a physician located in LAS VEGAS, NV. NPPES has assigned the NPI number 1538255823 to DARRYL FORTSON on October 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 9 years ago on Jan 17, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DARRYL FORTSON below.

NPI Profile for
DARRYL L. FORTSON

NPI Number
1538255823
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DARRYL L. FORTSON
Credentials
M D
Primary location
2704 N TENAYA WAY
LAS VEGAS, NV 89128-0424
Phone: (702) 243-8500 Fax: (702) 363-8195
Mailing address
PO BOX 15645
LAS VEGAS, NV 89114-5645
Phone: (702) 243-8500 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for DARRYL FORTSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEM, BC/BS PROVIDERIN000000359839
OTHERPTANNVV112580-V112581
OTHERSMA MEDICARENVV113132
MEDICAIDIN200004090B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IN 01037803

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.