Elysium Medical Incorporated
NPI 1225544158ActiveOrganization· Preferred Provider Organization· Henderson, NV
Preferred Provider Organization in Henderson, Nevada, registered in NPPES in December 2017. The authorized official on file is Andrew Jones, MD, Ceo.
Overview
| NPI | 1225544158 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2017 |
| Last updated in NPPES | Mar 25, 2026 |
| Certified by provider | Mar 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | — |
| Public Health or Welfare | 251K00000X | — | — |
| Exclusive Provider Organization | 302F00000X | — | — |
| Health Maintenance Organization | 302R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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