NPIMap

Individual provider Active NPI

Michael David Reiner, M.D.

  • Internal Medicine Physician
  • Pahrump, NV
National Provider Identifier
1285698381
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10499 Issued in NV
Practice address
1320 E Calvada Blvd
Pahrump, NV 89048
Phone
(775) 751-6111
Fax
(775) 751-3056
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10499 NV Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 10499 NV
Geriatric Medicine (Family Medicine) Physician 207QG0300X 10499 NV
General Practice Physician 208D00000X 10499 NV

Addresses

Primary practice location

1320 E Calvada Blvd
Pahrump, NV 89048

Mailing address

PO Box 35
Pahrump, NV 89041-0035
Phone (775) 751-6111

Other identifiers 1

IdentifierTypeStateIssuer
1285698381MedicaidNV

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
I20080303000436 NV Practitioner - Family PracticePractitioner - General Practice 3476548207 Receives reassigned benefits from 1 practitioner
Practice locations: Pahrump, NV

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1320 E Calvada Blvd
Pahrump, NV 89048-3961
Phone (775) 751-3056

Hospital & facility affiliations

  • Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
  • Desert View Hospital Hospital, Pahrump, NV, CCN 291311
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10499NVMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Medical Group, LLC Geriatric Medicine CurrentSince Oct 27, 2019 Accepting new patients
Img Laughlin PLLC Neuromusculoskeletal Medicine & Omm CurrentSince Jan 21, 2022 Accepting new patients
Michael D. Reiner, MD, PC Past Accepting new patients
Canyon Gate Medical Group, LLC Internal Medicine Past Accepting new patients
Desert View Regional Medical Center Holdings, LLC Past Accepting new patients
Georges Tannoury MD Professional Corporation Internal Medicine Past Accepting new patients
Michael Reiner MD PC General Practice PastSince Sep 9, 2016 Accepting new patients
Salimah Cumber MD PA Past Accepting new patients

Locations

1320 E Calvada Blvd
Pahrump, NV 89048
Phone (702) 304-1911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1285698381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890410035",
            "telephone_number": "775-751-6111",
            "fax_number": "775-751-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E CALVADA BLVD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "775-751-6111",
            "fax_number": "775-751-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINER",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10499",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NV",
            "license": "10499",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "10499",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "10499",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285698381",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.