NPIMap

Individual provider Active NPI

Hak-Sun Bak, MD

  • Anesthesiology Physician
  • Carson City, NV
National Provider Identifier
1033124680
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10995 Issued in NV
Practice address
1600 Medical Pkwy
Carson City, NV 89703
Phone
(702) 878-0070
Fax
(702) 209-2064
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 10995 NV Primary

Addresses

Primary practice location

1600 Medical Pkwy
Carson City, NV 89703

Mailing address

9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253
Phone (702) 878-0070

Other identifiers 1

IdentifierTypeStateIssuer
1033124680MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040811001093 NV Practitioner - Anesthesiology 7618949405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Georgia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reno Tahoe Anesthesia Weaver PCGroup PAC ID 3971930256, 41 clinicians
Metcalf Tiller and Chen IncGroup PAC ID 5698093086, 32 clinicians

Practice addresses (Care Compare)

18653 Wedge Pkwy
Suite 170
Reno, NV 89511-3037
Phone (775) 674-5200

235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Tahoe Anesthesia Weaver PC Anesthesiology CurrentSince Dec 15, 2022 Accepting new patients
Metcalf, Tiller & Chen, Inc. Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology CurrentSince Feb 2, 2020 Accepting new patients
Bluffton Health System LLC Past Accepting new patients
Caylor Nickel Clinic, PC Past Accepting new patients
Scott G. Parkhill, M.D., P.C. Anesthesiology Past Accepting new patients
Bluffton Physician Services LLC Past Accepting new patients

Locations

1801 W Olympic Blvd
#2152
Pasadena, CA 91199

1400 Medical Pkwy
Carson City, NV 89703
Phone (775) 283-3651

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

3475 Gs Richards Blvd
#110
Carson City, NV 89703
Phone (775) 841-2000

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

18653 Wedge Pkwy
Reno, NV 89511
Phone (775) 323-7500

18653 Wedge Pkwy
Ste 170
Reno, NV 89511
Phone (775) 674-5200

2321 Pyramid Way
Ste B
Sparks, NV 89431
Phone (775) 331-1919

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1033124680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481253",
            "telephone_number": "702-878-0070",
            "fax_number": "702-209-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89703",
            "telephone_number": "702-878-0070",
            "fax_number": "702-209-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAK",
        "first_name": "HAK-SUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "10995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033124680",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.