Individual provider Active NPI

Benjamin J Hochhalter, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1326023417
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1844 Issued in NV
Practice address
7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356
Phone
(702) 878-0393
Fax
(702) 258-5536
NPI assigned
Dec 12, 2005
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-614 ID
Physician Assistant 363A00000X PA1844 NV Primary
Medical Physician Assistant 363AM0700X PA-614 ID
Surgical Physician Assistant 363AS0400X PA-614 ID

Addresses

Primary practice location

7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356

Mailing address

7455 W Washington Ave
#160
Las Vegas, NV 89128-4337
Phone (702) 878-0393

Other identifiers 2

IdentifierTypeStateIssuer
1326023417MedicaidNV
282621MedicaidAZ

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-614IDMDPhysician Assistant
PA1844NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Marys Medical Group Inc. Current Accepting new patients
Idaho Emergency Physicians, P.a. PastSince Dec 1, 2011 Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

Interoperability endpoints

  • Direct secure messaging: benjaminhochhalter@nosc.allscriptsdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1326023417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE",
            "address_2": "#160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284337",
            "telephone_number": "702-878-0393",
            "fax_number": "702-258-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284356",
            "telephone_number": "702-878-0393",
            "fax_number": "702-258-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCHHALTER",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-614",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1844",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-614",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ID",
            "license": "PA-614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326023417",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282621",
            "state": "AZ"
        }
    ],
    "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 18, 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.

Verify at the official NPI Registry.