Jian Li, MD
Individual provider Active NPI Anesthesiology Physician · Las Vegas, NV
NPI 1316923733 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1316923733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 10549 (NV)
- Practice address
- 7250 Peak Dr Ste 100
Las Vegas, NV 89128-9028 - Phone
- (702) 386-4700
- Fax
- (702) 386-4701
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PBS Anesthesia LLC
Practice addresses (Care Compare)
7250 Peak Dr
Suite 100
Las Vegas, NV 89128-9028
Phone (702) 386-4700
Hospital & facility affiliations
- North Vista Hospital
- Summerlin Hospital Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040115000589 | NV | Practitioner - Anesthesiology | 6709787518 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PBS Anesthesia LLC | Current |
Accepting new patients | |
| Dodd Hyer, M.D. LTD | Anesthesiology | Past | Accepting new patients |
| Professional Anesthesia Consultants | Anesthesiology | Past | Accepting new patients |
| Summit Anesthesia Consultants, Inc | Anesthesiology | Past | Accepting new patients |
Locations
7250 Peak Dr
Ste 100
Las Vegas, NV 89128
Phone (702) 245-5960
2635 Box Canyon Dr
Bldg 4
Las Vegas, NV 89128
2635 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 850-3003
3157 N Rainbow Blvd
Las Vegas, NV 89108
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 10549 | NV | Yes |
Addresses
Primary practice location
7250 Peak Dr Ste 100
Las Vegas, NV 89128-9028
Mailing address
3157 N Rainbow Blvd # 518
Las Vegas, NV 89108-4578
Phone (702) 386-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100503719 | Medicaid | NE |
NPI Registry JSON
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1316923733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3157 N RAINBOW BLVD # 518",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891084578",
"telephone_number": "702-386-4700",
"fax_number": "702-386-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7250 PEAK DR STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891289028",
"telephone_number": "702-386-4700",
"fax_number": "702-386-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "JIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NV",
"license": "10549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100503719",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Edwin Li
- Enoch Yan-Leung Li
- Haiyan Li
- Hongyi Li
- Huiting Li
- Jiemin Li
- Jin PO Li
- Jonathan Li
- Kailing Li
- Lilun Li
All providers in Las Vegas, NV · Anesthesiology Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.