NPIMap

Individual provider Active NPI

Michael R Hubbard, DO

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1134324981
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
1340 Issued in NV
Practice address
1800 W Charlestown Blvd
Las Vegas, NV 89102
Phone
(702) 383-2000
Fax
(702) 383-3620
NPI assigned
Jun 20, 2007
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 1340 NV Primary

Addresses

Primary practice location

1800 W Charlestown Blvd
Las Vegas, NV 89102

Mailing address

1800 W Charlestown Blvd
Las Vegas, NV 89102
Phone (702) 383-2000

Other identifiers 2

IdentifierTypeStateIssuer
12455543OtherNVCAQH #
1340OtherNVOSTEOPATHIC MED. LICENSE

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
I20070810000099 NV Practitioner - Anesthesiology 0244321867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2236NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Physician Hospital Organization, LLC Anesthesiology CurrentSince Apr 26, 2022 Accepting new patients
Picetti LTD Anesthesiology CurrentSince Oct 25, 2022 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jan 3, 2023 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jan 3, 2023 Accepting new patients
Tahoma Anesthesiology Consultants PS Anesthesiology Past Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

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

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

1155 Mill St
Ste 555
Reno, NV 89502

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

615 Sierra Rose Dr
Ste 2B
Reno, NV 89511
Phone (775) 342-7933

Interoperability endpoints

  • Direct secure messaging: hubbard.michael.wdh@direct.partners.masshiway.net
  • Direct secure messaging: mhubbard116455@direct.umcsn.com
  • Direct secure messaging: mhubbard565484@direct.med.utah.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1134324981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTOWN BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2000",
            "fax_number": "702-383-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTOWN BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2000",
            "fax_number": "702-383-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "12455543",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC MED. LICENSE",
            "identifier": "1340",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.