Individual provider Active NPI

Charlie Nahm, MD

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
National Provider Identifier
1033385307
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
16636 Issued in NV
Practice address
9333 W Sunset Rd Ste a
Las Vegas, NV 89148-4845
Phone
(702) 968-6259
Fax
(702) 987-3219
NPI assigned
May 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A70052 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X 16636 NV Primary

Addresses

Primary practice location

9333 W Sunset Rd Ste a
Las Vegas, NV 89148-4845

Mailing address

9333 W Sunset Rd Ste a
Las Vegas, NV 89148-4845
Phone (702) 968-6259

Other practice location 1

5348 Carroll Canyon Rd
Suite 101
San Diego, CA 92121-1733
Phone (858) 202-1546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040903000377 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 7810963501 Reassigns benefits to 1 organization
I20170614002766 NV Practitioner - Pain Management 7810963501 Reassigns benefits to 1 organization
I20200617000874 AZ Practitioner - Anesthesiology 7810963501

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6053 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-5577
Phone 70296862593

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70052CAMDPharmacist
A70052CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlie Y. Nahm, MD, PC Pain Medicine CurrentSince Feb 16, 2010 Accepting new patients
Andrew W Hesseltine, M.D., Inc Pain Medicine CurrentSince Jun 1, 2019 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Brenton D. Wynn, MD Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
Integrated Pain Solutions Pain Medicine PastSince Nov 20, 2012 Accepting new patients

Locations

9055 Soquel Dr
Ste D
Aptos, CA 95003
Phone (831) 661-0523

1850 E Washington St
Colton, CA 92324
Phone (909) 233-7057

36915 Cook St
Ste 102
Palm Desert, CA 92211
Phone (760) 969-5200

9333 W Sunset Rd
Ste A
Las Vegas, NV 89148
Phone (702) 968-6259

6053 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 233-1100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAAEDD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033385307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 W SUNSET RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484845",
            "telephone_number": "702-968-6259",
            "fax_number": "702-987-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 W SUNSET RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484845",
            "telephone_number": "702-968-6259",
            "fax_number": "702-987-3219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5348 Carroll Canyon Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921211733",
            "country_code": "US",
            "telephone_number": "858-202-1546",
            "fax_number": "858-202-1548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAHM",
        "first_name": "CHARLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A70052",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "16636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.