Organization Active NPI

Telehealth Clinical Evals LLC

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1346868387
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TELEHEALTH CLINICAL EVALS LLC
Practice address
9505 Hillwood Dr
Las Vegas, NV 89134-0506
Phone
(725) 209-3053
NPI assigned
Jul 7, 2020
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Randall Lee Haupt
Title
Executive Vice President
Phone
(725) 209-3053

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9505 Hillwood Dr
Las Vegas, NV 89134-0506

Mailing address

9505 Hillwood Dr
Las Vegas, NV 89134-0506
Phone (725) 209-3053

Other practice location 1

6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011-4219
Phone (725) 209-3053

Other identifiers 1

IdentifierTypeStateIssuer
1386622462MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA, MO, OK, TX, FL, GA, PA, NJ, NY, KS, OH12 enrollments

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
O20200724000406 NV Part B Supplier - Clinic/Group Practice 2860816725 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV; Henderson, NV
O20200826003870 CA Part B Supplier - Clinic/Group Practice 2860816725 Receives reassigned benefits from 8 practitioners
Practice locations: La Jolla, CA; Visalia, CA; West Hollywood, CA
O20210316002489 MO Part B Supplier - Clinic/Group Practice 2860816725 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO
O20210427000524 OK Part B Supplier - Clinic/Group Practice 2860816725 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK
O20240411002826 TX Part B Supplier - Clinic/Group Practice 2860816725 Receives reassigned benefits from 6 practitioners
Practice locations: Jersey Village, TX; Mission, TX
O20250218002833 FL Part B Supplier - Clinic/Group Practice 2860816725 Receives reassigned benefits from 7 practitioners
Practice locations: Orlando, FL
O20250305001218 GA Part B Supplier - Clinic/Group Practice 2860816725 Receives reassigned benefits from 4 practitioners
Practice locations: Riverdale, GA
O20250319000290 PA Part B Supplier - Clinic/Group Practice 2860816725 Receives reassigned benefits from 4 practitioners
Practice locations: Plymouth Meeting, PA
O20250320001813 NJ Part B Supplier - Clinic/Group Practice 2860816725 Receives reassigned benefits from 3 practitioners
Practice locations: East Windsor, NJ
O20250715003137 NY Part B Supplier - Clinic/Group Practice 2860816725 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20251230002228 KS Part B Supplier - Clinic/Group Practice 2860816725 Receives reassigned benefits from 1 practitioner
Practice locations: Hutchinson, KS
O20260406002036 OH Part B Supplier - Clinic/Group Practice 2860816725 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory
Tax ID family
Hurt Jacknow Moore Connor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6881 Kingspointe Pkwy
Ste 2
Orlando, FL 32819
Phone (407) 412-5600

34 Upper Riverdale Rd SE
Ste 101
Riverdale, GA 30274
Phone (470) 292-3820

11144 Tesson Ferry Rd
Ste 205
Saint Louis, MO 63123
Phone (314) 842-8427

9505 Hillwood Dr
Las Vegas, NV 89134
Phone (949) 444-1413

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1346868387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 HILLWOOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340506",
            "telephone_number": "725-209-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9505 HILLWOOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340506",
            "telephone_number": "725-209-3053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6010 Hidden Valley Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920114219",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TELEHEALTH CLINICAL EVALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "HAUPT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "725-209-3053"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386622462",
            "state": "NV"
        }
    ],
    "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 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.