Individual provider Active NPI

Sam Hy, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1619194669
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16759 Issued in NV
Practice address
1000 S Rainbow Blvd
#A
Las Vegas, NV 89145-6231
Phone
(702) 952-9171
Fax
(702) 952-9136
NPI assigned
Apr 19, 2007
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16759 NV Primary

Addresses

Primary practice location

1000 S Rainbow Blvd
#A
Las Vegas, NV 89145-6231

Mailing address

PO Box 98978
Las Vegas, NV 89193-8978
Phone (702) 216-3346

Other names 1

  • Dr. Sam A. Hy Other name

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
I20161228000399 NV Practitioner - Internal Medicine 3577844844 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians
Nevada Post-Acute Medical Services-Scherr 1 P.CGroup PAC ID 7012292634, 18 clinicians

Practice addresses (Care Compare)

3215 E Cheyenne Ave
North Las Vegas, NV 89030-4235
Phone (702) 649-7800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16759NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Post-Acute Medical Services-Scherr 1 PC CurrentSince May 6, 2024 Accepting new patients
CS Pacs 3 West LLC CurrentSince Sep 9, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince May 6, 2024 Accepting new patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients
Marquis Companies I, Inc. Past Accepting new patients
Mi Pacs 2 PC Past Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine Past Accepting new patients
Thi of Nevada at Cheyenne LLC Past Accepting new patients
Thi of Nevada II at Desert Lane, LLC Past Accepting new patients
Yate Holdings, LLC Past Accepting new patients
Las Vegas NV Opco LLC Past Accepting new patients
Moon Cove Healthcare, Inc. Past Accepting new patients
Henderson Delmar NV Opco LLC Past Accepting new patients
Thi of Nevada II at North Las Vegas, LLC Past Accepting new patients

Locations

150 N La Canada Dr
Green Valley, AZ 85614
Phone (520) 230-4532

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

6211 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 408-4321

10550 Park Run Dr
Las Vegas, NV 89144
Phone (702) 515-6200

2860 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-0684

6351 N Fort Apache Rd
Las Vegas, NV 89149
Phone (702) 395-1555

3215 E Cheyenne Ave
North Las Vegas, NV 89030
Phone (702) 467-0707

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1619194669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98978",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938978",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S RAINBOW BLVD",
            "address_2": "#A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456231",
            "telephone_number": "702-952-9171",
            "fax_number": "702-952-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HY",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "16759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "HY",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.