Individual provider Active NPI

Michael Sterling Tanner, MD

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1083903249
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15534 Issued in NV
Practice address
10100 W Charleston Blvd Ste 160
Las Vegas, NV 89135-5002
Phone
(702) 686-3762
Fax
(913) 871-9266
NPI assigned
Mar 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 15534 NV Primary
Child & Adolescent Psychiatry Physician 2084P0804X 15534 NV

Addresses

Primary practice location

10100 W Charleston Blvd Ste 160
Las Vegas, NV 89135-5002

Mailing address

10100 W Charleston Blvd Ste 160
Las Vegas, NV 89135-5002
Phone (702) 686-3762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160810000401 NV Practitioner - Psychiatry 8820217805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nevada School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7436 Enchanted Hills CT
Las Vegas, NV 89129-5965

8249 Strawberry Spring St
Las Vegas, NV 89143-4483

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15534NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Tanner, MD PLLC Psychosomatic Medicine CurrentSince Oct 27, 2016 Accepting new patients
Lisa a Durette MD PLLC Child & Adolescent Psychiatry Past Accepting new patients
Lisa a Durette MD PLLC Psychiatry Past Accepting new patients

Locations

8845 W Flamingo Rd
Ste 210
Las Vegas, NV 89147
Phone (702) 646-0188

8170 W Sahara Ave
Ste 202
Las Vegas, NV 89117
Phone (702) 686-3762

10100 W Charleston Blvd
Ste 160
Las Vegas, NV 89135

10655 Park Run Dr
Ste 210
Las Vegas, NV 89144
Phone (702) 277-0602

Interoperability endpoints

  • Direct secure messaging: mtanner18747@direct.umcsn.com

Organizations & group practices 3

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1083903249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 W CHARLESTON BLVD STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891355002",
            "telephone_number": "702-686-3762",
            "fax_number": "913-871-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 W CHARLESTON BLVD STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891355002",
            "telephone_number": "702-686-3762",
            "fax_number": "913-871-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "MICHAEL",
        "middle_name": "STERLING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "15534",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "15534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.