Active NPI
John Paul Havill, MBBS
- Nephrology Physician
- Las Vegas, NV
National Provider Identifier
1407097280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 13753
- Practice address
- 500 S Rancho Dr
Ste. 12
Las Vegas, NV 89106-4844 - Phone
- (702) 877-1887
- Fax
- (702) 877-1887
- NPI assigned
- Mar 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 13753 | NV | Primary |
Addresses
Primary practice location
500 S Rancho Dr
Ste. 12
Las Vegas, NV 89106-4844
Mailing address
511 Union St
Ste 1800
Nashville, TN 37219-2509
Phone (702) 877-1887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407097280 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1302 Medical Ctr Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800
2021 N Myrtle Point Blvd
Suite 106
North Myrtle Beach, SC 29582-2224
Phone (843) 663-1401
Hospital & facility affiliations
- DaVita Ogden Park Home Training
- DaVita Surf City Dialysis
- DaVita SEDC Wilmington Dialysis Center
- Novant Health New Hanover Regional Medical Center
- Onslow Memorial Hospital
- Pender Memorial Hospital
- Vidant Duplin Hospital
- Novant Health Brunswick Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13753 | NV | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Nephrology Associates PLLC | Nephrology | Current | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Rajeev Prasad MD PC | Past | Accepting new patients |
Locations
511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280
1302 Medical Center Dr
Wilmington, NC 28401
Phone (910) 343-9800
2021 N Myrtle Point Blvd
Ste 106
North Myrtle Beach, SC 29582
Phone (843) 663-1401
Interoperability endpoints
- jhavill41752@direct.acumenmd.com
Organizations & group practices 3
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.
-
- Specialist
- Henderson, NV
- NPI 1689762239
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wilmington, NC
- NPI 1720826480
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hampstead, NC
- NPI 1003208240
Dialysis facility
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- General Acute Care Hospital
- Kenansville, NC
- NPI 1508832833
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
-
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
-
- Medicare Defined Swing Bed Hospital Unit
- Burgaw, NC
- NPI 1780653865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1407097280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 UNION ST",
"address_2": "STE 1800",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372192509",
"telephone_number": "702-877-1887",
"fax_number": "702-877-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S RANCHO DR",
"address_2": "STE. 12",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064844",
"telephone_number": "702-877-1887",
"fax_number": "702-877-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVILL",
"first_name": "JOHN",
"middle_name": "PAUL",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-09",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NV",
"license": "13753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407097280",
"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 Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.