Individual provider Active NPI

John Charles Rhodes, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1316258171
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6286 Issued in NV
Practice address
10105 Banburry Cross Dr Ste 150
Las Vegas, NV 89144-6647
Phone
(702) 243-8500
Fax
(702) 560-2928
NPI assigned
Jun 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6286 NV Primary

Addresses

Primary practice location

10105 Banburry Cross Dr Ste 150
Las Vegas, NV 89144-6647

Mailing address

PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 560-2886

Other identifiers 4

IdentifierTypeStateIssuer
1316258171OtherNVNPI
207Q00000XOtherNVTAXONOMY
1316258171MedicaidNV
6286OtherNVNV STATE LICENSE

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
I20120319000019 NV Practitioner - Family Practice 5092974659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Group II Rhodes P CGroup PAC ID 4981687779, 296 clinicians

Practice addresses (Care Compare)

2704 N Tenaya Way
Las Vegas, NV 89128-0424
Phone (702) 579-3253

2716 N Tenaya Way
Las Vegas, NV 89128-0424
Phone (702) 579-3253

2845 Siena Heights Dr
Henderson, NV 89052-4153
Phone (702) 579-3253

4475 S Eastern Ave
Las Vegas, NV 89119-7826
Phone (702) 579-3253

4750 W Oakey Blvd
Las Vegas, NV 89102-1535
Phone (702) 579-3253

4835 S Durango Dr
Las Vegas, NV 89147-8171
Phone (702) 579-3253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6286NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 8, 2019 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Jan 13, 2014 Accepting new patients
Greater Phoenix Collaborative Care PC PastSince Aug 1, 2023 Accepting new patients
Family Home Hospice, Inc. Family Medicine PastSince Aug 1, 2023 Accepting new patients
Dignity Health Past Accepting new patients
Beaver Medical Group P C PastSince Jul 1, 2024 Accepting new patients
Jordan Ridge Family Medicine LLC PastSince Jan 1, 2023 Accepting new patients
Southwest Medical Associates, Inc PastSince Jan 13, 2014 Accepting new patients

Locations

4750 W Oakey Blvd
Las Vegas, NV 89102
Phone (702) 724-8877

10105 Banburry Cross Dr
Ste 150
Las Vegas, NV 89144
Phone (702) 243-8500

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

Interoperability endpoints

  • Direct secure messaging: jrhodes119327@westdirect.optum.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southwest Medical Associates Home HealthLas Vegas, NV, CCN 297030 Home health agency Corporate Director
W-2 Managing Employee
Aug 1, 2023
Aug 1, 2023
Southwest Medical Associates Hospice and Palliative CareLas Vegas, NV, CCN 291502 Hospice W-2 Managing Employee Mar 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1316258171",
    "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": "702-560-2886",
            "fax_number": "702-560-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 BANBURRY CROSS DR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446647",
            "telephone_number": "702-243-8500",
            "fax_number": "702-560-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-27",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "6286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316258171",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207Q00000X",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316258171",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE LICENSE",
            "identifier": "6286",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.