NPIMap

Individual provider Active NPI

Charles Kim Danish, D.O.

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1790149078
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO2479 Issued in NV
Practice address
10624 S Eastern Ave # a-955
Henderson, NV 89052-2982
Phone
(702) 800-5393
Fax
(702) 407-7016
NPI assigned
Apr 12, 2016
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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 DO2479 NV Primary

Addresses

Primary practice location

10624 S Eastern Ave # a-955
Henderson, NV 89052-2982

Mailing address

10624 S Eastern Ave # a-955
Henderson, NV 89052-2982
Phone (702) 800-5393

Other identifiers 1

IdentifierTypeStateIssuer
540889154OtherVAMONTGOMERY REGIONAL HOSPITAL

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
I20190624000014 NV Practitioner - Internal Medicine 5496040107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

Practice addresses (Care Compare)

7495 W Azure Dr
Suite 209
Las Vegas, NV 89130-4440
Phone (702) 407-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.15 of 100Reported as group
Quality
36.67
Improvement activities
40
Cost
61.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2479NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Hospitalists LLP Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Las Vegas Medical Group LLC Family Medicine CurrentSince Feb 9, 2026 Accepting new patients
Platinum Hospitalists LLP Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
West Henderson Hospital Medical Center LLC Past Accepting new patients

Locations

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

10624 S Eastern Ave
Ste A955
Henderson, NV 89052
Phone (702) 407-7700

10624 S Eastern Ave
Ste A995
Henderson, NV 89052

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

5320 S Rainbow Blvd
Ste 302
Las Vegas, NV 89118
Phone (702) 382-8222

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

Interoperability endpoints

  • Direct secure messaging: charles.danish@hca6.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1790149078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE # A-955",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-800-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE # A-955",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-800-5393",
            "fax_number": "702-407-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANISH",
        "first_name": "CHARLES",
        "middle_name": "KIM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO2479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTGOMERY REGIONAL HOSPITAL",
            "identifier": "540889154",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.