Individual provider Active NPI

Rodney S Smith, MD

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
National Provider Identifier
1679916126
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
21221 Issued in NV
Practice address
7455 W Azure Dr Ste 140
Las Vegas, NV 89130-4431
Phone
(702) 765-4222
Fax
(702) 718-6652
NPI assigned
Apr 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 10210153-1205 UT
Pain Medicine (Anesthesiology) Physician 207LP2900X 21221 NV Primary

Addresses

Primary practice location

7455 W Azure Dr Ste 140
Las Vegas, NV 89130-4431

Mailing address

7455 W Azure Dr Ste 140
Las Vegas, NV 89130-4431
Phone (702) 765-4222

Other identifiers 2

IdentifierTypeStateIssuer
1679916126MedicaidNV
21221OtherNVNV LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170707002069 UT Practitioner - Anesthesiology 6709168917 Reassigns benefits to 1 organization
I20210930001044 NV Practitioner - Pain ManagementPractitioner - Anesthesiology 6709168917 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21221NVMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Jul 1, 2017 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2017 Accepting new patients
William S Muir MD LTD CurrentSince Nov 14, 2022 Accepting new patients
Vip Spine LLC CurrentSince Dec 9, 2025 Accepting new patients
University of Utah Adult Services Current Accepting new patients

Locations

653 N Town Center Dr
Ste 210
Las Vegas, NV 89144
Phone (702) 233-7950

7455 W Azure Dr
Ste 140
Las Vegas, NV 89130
Phone (702) 765-4222

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: rodney.smith@1225.chartlogic.direct-ci.com

Organizations & group practices 5

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1679916126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W AZURE DR STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304431",
            "telephone_number": "702-765-4222",
            "fax_number": "702-718-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W AZURE DR STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304431",
            "telephone_number": "702-765-4222",
            "fax_number": "702-718-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RODNEY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "UT",
            "license": "10210153-1205",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "21221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679916126",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV LICENSE",
            "identifier": "21221",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.