Individual provider Active NPI

Glenn J Hime, M.D.

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1407824311
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
7386 Issued in NV
Practice address
6655 W Sahara Ave
Suite B 200
Las Vegas, NV 89146-0842
Phone
(702) 222-3238
Fax
(702) 221-2231
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 7386 NV Primary

Addresses

Primary practice location

6655 W Sahara Ave
Suite B 200
Las Vegas, NV 89146-0842

Mailing address

6655 W Sahara Ave
Suite B 200
Las Vegas, NV 89146-0842
Phone (702) 222-3238

Other identifiers 1

IdentifierTypeStateIssuer
2019658MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000300 NV Practitioner - Anesthesiology 2668641903 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group II Rhodes P C CurrentSince Mar 1, 2016 Accepting new patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince Jan 3, 2023 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 1, 2020 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 1, 2020 Accepting new patients
Optum Medical Group Rhodes P C Anesthesiology Current Accepting new patients
Anesthesia Management Services LLC Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
Glen J Hime, M.D., PC Anesthesiology Past Accepting new patients

Locations

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

100 N Green Valley Pkwy
Ste 125
Henderson, NV 89074
Phone (702) 294-1230

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660

Interoperability endpoints

  • Direct secure messaging: ghime14362@direct.umcsn.com

Organizations & group practices 7

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1407824311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE",
            "address_2": "SUITE B 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460842",
            "telephone_number": "702-222-3238",
            "fax_number": "702-221-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE",
            "address_2": "SUITE B 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460842",
            "telephone_number": "702-222-3238",
            "fax_number": "702-221-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIME",
        "first_name": "GLENN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "7386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019658",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.