NPIMap

Individual provider Active NPI

John R Brian, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1457334294
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA692 Issued in NV
Practice address
5495 S Rainbow Blvd
Suite 201
Las Vegas, NV 89118-1871
Phone
(702) 982-3659
Fax
(702) 549-0377
NPI assigned
Nov 25, 2005
Last updated
Oct 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA692 NV Primary

Addresses

Primary practice location

5495 S Rainbow Blvd
Suite 201
Las Vegas, NV 89118-1871

Mailing address

PO Box 98813
Suite 201
Las Vegas, NV 89193-8813
Phone (702) 982-3659

Other identifiers 2

IdentifierTypeStateIssuer
002402194MedicaidNV
100508145MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615001526 NV Practitioner - Physician Assistant 5294719480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qureshi Al-Owir PLLCGroup PAC ID 4183763592, 18 clinicians

Practice addresses (Care Compare)

1050 W Galleria Dr
Henderson, NV 89011-4800
Phone (702) 963-7000

2250 E Flamingo Rd
Las Vegas, NV 89119-5170
Phone (702) 784-4300

4015 McLeod Dr
Las Vegas, NV 89121-4305
Phone (702) 433-2200

5110 W Sahara Ave
Las Vegas, NV 89146-3406
Phone (702) 671-1418

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000

657 N Town Ctr Dr
Las Vegas, NV 89144-6367
Phone (702) 233-7572

6900 N Durango Dr
Las Vegas, NV 89149-4409
Phone (702) 835-9700

8550 S Eastern Ave
Las Vegas, NV 89123-2835
Phone (702) 382-3155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.71 of 100Reported as group
Quality
22.52
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc Current Accepting new patients
Hanson and Rowley Red Rocks Genetics PLLC Past Accepting new patients
Robb Rowley MD PLLC Past Accepting new patients
Yarbro LTD Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1457334294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98813",
            "address_2": "SUITE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938813",
            "telephone_number": "702-982-3659",
            "fax_number": "702-549-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 S RAINBOW BLVD",
            "address_2": "SUITE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181871",
            "telephone_number": "702-982-3659",
            "fax_number": "702-549-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIAN",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002402194",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508145",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.