Active NPI
Paul Leyva Hamor, MD
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1205809720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 6333
- Practice address
- 4500 W Oakey Blvd
Las Vegas, NV 89102-1527 - Phone
- (702) 873-5110
- Fax
- (702) 873-8093
- NPI assigned
- Feb 8, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6333 | NV | Primary |
Addresses
Primary practice location
4500 W Oakey Blvd
Las Vegas, NV 89102-1527
Mailing address
PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 242-7308
Other practice location 1
4475 S Eastern
Las Vegas, NV 89119
Phone (702) 737-1880
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100506660 | Medicaid | NV | |
| P00291534 | Other | NV | RAILROAD MEDICARE |
| 002016590 | Medicaid | NV | |
| 6333 | Other | NV | NV STATE LICENSE |
| 1205809720 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6333 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Medical Group Coats LTD | Internal Medicine | Current | Accepting new patients |
| Intermountain Medical Holdings Nevada Inc | Internal Medicine | Past | Accepting new patients |
| Sierra Hospitalists LLC | Internal Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
Internal Medicine
-
dba Intermountain Health
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
- Internal Medicine Physician
- Reno, NV
- NPI 1629057955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1205809720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15645",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891145645",
"telephone_number": "702-242-7308",
"fax_number": "702-240-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 W OAKEY BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021527",
"telephone_number": "702-873-5110",
"fax_number": "702-873-8093"
}
],
"practiceLocations": [
{
"address_1": "4475 S Eastern",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89119",
"country_code": "US",
"telephone_number": "702-737-1880",
"fax_number": "702-650-0763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMOR",
"first_name": "PAUL",
"middle_name": "LEYVA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "6333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100506660",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00291534",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002016590",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV STATE LICENSE",
"identifier": "6333",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205809720",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.