Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Riis, MD

Individual provider Orthopaedic Surgery Physician · NPI 1043417611

Jacob Riis, MD is an Orthopedic Surgery in Nellis AFB, Nevada. Graduated from University of South Carolina School of Medicine in 2007, 19 years ago. Practices with Kingman Healthcare Inc, a 180-clinician group and accepts Medicare assignment. Licensed in Arizona and Florida.

Years since qualifying
19
Trained at
University of South Carolina School of Medicine
Licensed in
AZ, FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence ME 103069 (FL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 69060 (AZ)

Record details

NPI number1043417611
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2007
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Kingman Healthcare Inc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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