Active NPI
Joshua Smith, PA-C
- Physician Assistant
- Henderson, NV
National Provider Identifier
1104122746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1384
- Practice address
- 291 N Pecos Rd
Henderson, NV 89074-1918 - Phone
- (702) 616-9471
- Fax
- (702) 616-9681
- NPI assigned
- Jan 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1384 | NV | Primary |
Addresses
Primary practice location
291 N Pecos Rd
Henderson, NV 89074-1918
Mailing address
291 N Pecos Rd
Henderson, NV 89074-1918
Phone (702) 616-9471
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130130000380 | NV | Practitioner - Physician Assistant | 4183878093 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadow Emergency Physicians PLLC | Physician Assistant | Current | Accepting new patients |
| Shadow Emergency Physicians PLLC | Current | Accepting new patients | |
| Family Doctors Ramanathan, PLLC | Past | Accepting new patients | |
| Katrina Di Pasqua DPM Inc | Past | Accepting new patients |
Locations
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBDIBA/Endpoint/EBDIBA
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1043030919
Physician Assistant
-
- Emergency Medicine Physician
- Henderson, NV
- NPI 1487496998
-
- Non-Pharmacy Dispensing Site
- Las Vegas, NV
- NPI 1568754075
-
- Podiatrist
- Napa, CA
- NPI 1710930789
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Henderson, NV
- NPI 1295129559
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Doctors Ramanathan PLLC
Practice addresses (Care Compare)
291 N Pecos Rd
Henderson, NV 89074-1918
Phone (702) 616-9471
Hospital & facility affiliations
- Enhabit Home Health (Pecos)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1104122746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 N PECOS RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890741918",
"telephone_number": "702-616-9471",
"fax_number": "702-616-9681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 N PECOS RD",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890741918",
"telephone_number": "702-616-9471",
"fax_number": "702-616-9681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JOSHUA",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-30",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.