NPIMap

Individual provider Active NPI

Daejoon Anh, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Henderson, NV
National Provider Identifier
1033218839
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
12309 Issued in NV
Practice address
2865 Siena Heights Dr Ste 331
Henderson, NV 89052-4171
Phone
(702) 407-0110
Fax
(702) 407-0133
NPI assigned
Sep 21, 2006
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 12309 NV
Clinical Cardiac Electrophysiology Physician 207RC0001X 12309 NV Primary

Addresses

Primary practice location

2865 Siena Heights Dr Ste 331
Henderson, NV 89052-4171

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

3131 La Canada St
Ste 200
Las Vegas, NV 89109-2578
Phone (702) 933-9400

Other identifiers 1

IdentifierTypeStateIssuer
1033218839MedicaidNV

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
I20070821000267 NV Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 9537251624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Loma Linda University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2865 Siena Heights Dr
Suite 331
Henderson, NV 89052-4171
Phone (702) 407-0110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.1 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
73.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc Interventional Cardiology CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Medical Group Coats LTD Cardiovascular Disease Current Accepting new patients
Intermountain Medical Holdings Nevada Inc Cardiovascular Disease CurrentSince Jan 1, 2022 Accepting new patients
Intermountain Medical Holding Nevada, Inc. CurrentSince Mar 9, 2020 Accepting new patients
Cardiovascular Consultants of Nevada Cardiovascular Disease Past Accepting new patients

Locations

2865 Siena Heights Dr
Ste 331
Henderson, NV 89052
Phone (702) 407-0110

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

10040 Alta Dr
Ste 350
Las Vegas, NV 89145
Phone (702) 360-7600

3131 La Canada St
Ste 140
Las Vegas, NV 89169
Phone (702) 933-9400

3131 La Canada St
Ste 200
Las Vegas, NV 89169
Phone (702) 369-5582

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: daejoonanh@hcpnv.allscriptsdirect.net
  • Direct secure messaging: danh10360@direct.umcsn.com

Organizations & group practices 5

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

Hospital & facility affiliations 8

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1033218839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 SIENA HEIGHTS DR STE 331",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524171",
            "telephone_number": "702-407-0110",
            "fax_number": "702-407-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 La Canada St",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092578",
            "country_code": "US",
            "telephone_number": "702-933-9400",
            "fax_number": "702-933-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANH",
        "first_name": "DAEJOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "12309",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NV",
            "license": "12309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033218839",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.