Individual provider Active NPI

Charles W Knight, MD

  • Internal Medicine Physician
  • Pahrump, NV
National Provider Identifier
1306805064
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20321 Issued in NV
Practice address
1397 S Loop Rd
Pahrump, NV 89048-4729
Phone
(775) 727-5500
Fax
(775) 727-5696
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.022657 LA
Hospitalist Physician 208M00000X 8202A WY
Hospitalist Physician 208M00000X M-10925 ID
Hospitalist Physician 208M00000X 12390 MT
Internal Medicine Physician 207R00000X 20321 NV Primary

Addresses

Primary practice location

1397 S Loop Rd
Pahrump, NV 89048-4729

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

2860 Channing Way
Suite 213
Idaho Falls, ID 83404-7531
Phone (208) 227-2575

Other identifiers 4

IdentifierTypeStateIssuer
1306805064MedicaidWY
1496979MedicaidLA
20321OtherNVSTATE LICENSE
1306805064MedicaidNV

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
I20201002000221 NV Practitioner - Internal Medicine 8527089879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Holdings Nevada IncGroup PAC ID 7416054622, 311 clinicians

Practice addresses (Care Compare)

1397 S Loop Rd
Pahrump, NV 89048-4729
Phone (775) 727-5500

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Las Vegas, NV, CCN 297115
  • Desert View Hospital Hospital, Pahrump, NV, CCN 291311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022657LAMDPharmacist
MD.022657LAMDInternal Medicine Physician
12390MTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Medical Group Coats LTD Internal Medicine Current Accepting new patients
Intermountain Medical Holdings Nevada Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Saint Alphonsus Medical Center Nampa, Inc. Past Accepting new patients
Hsa Glenwood, LLC Past Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients
St Alphonsus Regional Med Past Accepting new patients
Eastern Idaho Health Services Inc Past Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Desert View Regional Medical Center Holdings, LLC Past Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients
Pocatello Hospital LLC Past Accepting new patients

Locations

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: charlesknight@hcpnv.allscriptsdirect.net

Organizations & group practices 12

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 2

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1306805064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 S LOOP RD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890484729",
            "telephone_number": "775-727-5500",
            "fax_number": "775-727-5696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2860 Channing Way",
            "address_2": "Suite 213",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047531",
            "country_code": "US",
            "telephone_number": "208-227-2575",
            "fax_number": "208-227-2571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.022657",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WY",
            "license": "8202A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-10925",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MT",
            "license": "12390",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "20321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306805064",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1496979",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "20321",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306805064",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.