Individual provider Active NPI

Kenneth Y Hampar, MD

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1386685733
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
7936 Issued in NV
Practice address
10195 W Twain Ave
Suite B
Las Vegas, NV 89147-6726
Phone
(727) 868-9563
Fax
(727) 869-6909
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 7936 NV Primary

Addresses

Primary practice location

10195 W Twain Ave
Suite B
Las Vegas, NV 89147-6726

Mailing address

PO Box 5519
Hudson, FL 34674-5519
Phone (727) 868-9563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2018 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7936NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eddiepmd Inc PastSince Jul 30, 2002 Accepting new patients
Nevada Spine Center, LLC Past Accepting new patients
Nevada Surgical Specialists LLC PastSince Sep 1, 2011 Accepting new patients
Pain Institute of Nevada, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1386685733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5519",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346745519",
            "telephone_number": "727-868-9563",
            "fax_number": "727-869-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10195 W TWAIN AVE",
            "address_2": "SUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476726",
            "telephone_number": "727-868-9563",
            "fax_number": "727-869-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPAR",
        "first_name": "KENNETH",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": "7936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.