NPIMap

Individual provider Active NPI

Jonathan H McKinnon, M.D.

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1730159385
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
14137 Issued in NV
Practice address
7575 W Washington Ave
Suite 127-160
Las Vegas, NV 89128-4333
Phone
(702) 505-4230
Fax
(702) 505-4231
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 14137 NV
Neurology Physician 2084N0400X 36035 AZ
Neurology Physician 2084N0400X 14137 NV Primary

Addresses

Primary practice location

7575 W Washington Ave
Suite 127-160
Las Vegas, NV 89128-4333

Mailing address

351 N Buffalo Dr
Suite B
Las Vegas, NV 89145-0301
Phone (702) 505-4230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120125000799 NV Practitioner - Neurology 3779639737 Reassigns benefits to 1 organization
I20240606001560 MT Practitioner - Neurology 3779639737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ohio State University College of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Big Sky Medical Associates PLLCGroup PAC ID 5193267045, 2 clinicians

Practice addresses (Care Compare)

155 Mill Town Loop
Suite a
Bozeman, MT 59718-5146
Phone (406) 551-2180

Hospital & facility affiliations

  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057
  • Madison Valley Medical Center Hospital, Ennis, MT, CCN 271329
  • Community Hospital of Anaconda Hospital, Anaconda, MT, CCN 271335
  • Bozeman Health Big Sky Medical Center Hospital, Big Sky, MT, CCN 271389

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14137NVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McKinnon Medical Group, PLLC Neurology CurrentSince Dec 1, 2011 Accepting new patients
Big Sky Medical Associates, PLLC Neurology CurrentSince Mar 18, 2024 Accepting new patients
McKinnon Rheumatology Associates PLLC PastSince Feb 25, 2024 Accepting new patients
Amdx, LTD Past Accepting new patients

Locations

155 Mill Town Loop
Ste A
Bozeman, MT 59718
Phone (406) 551-2180

351 N Buffalo Dr
Ste B
Las Vegas, NV 89145
Phone (702) 255-6665

2400 S Cimarron Rd
Ste 120
Las Vegas, NV 89117
Phone (702) 505-4230

7575 W Washington Ave
#127160
Las Vegas, NV 89128

7575 W Washington Ave
Ste 127160
Las Vegas, NV 89128
Phone (702) 505-4230

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHIIDD/Endpoint/EHIIDD

Organizations & group practices 4

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1730159385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 N BUFFALO DR",
            "address_2": "SUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450301",
            "telephone_number": "702-505-4230",
            "fax_number": "702-505-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 W WASHINGTON AVE",
            "address_2": "SUITE 127-160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284333",
            "telephone_number": "702-505-4230",
            "fax_number": "702-505-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "JONATHAN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NV",
            "license": "14137",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "36035",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "14137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.