Individual provider Active NPI

Jonathan A Maxham, DO

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1811124589
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO2202 Issued in NV
Practice address
2440 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2731
Phone
(702) 798-7171
Fax
(702) 436-6561
NPI assigned
Jun 19, 2009
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 76516 GA
Internal Medicine Physician 207R00000X DO2202 NV Primary

Addresses

Primary practice location

2440 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2731

Mailing address

2851 N Tenaya Way Ste 205
Las Vegas, NV 89128-0453
Phone (702) 658-0204

Other practice location 1

8425 S Eastern Ave
Las Vegas, NV 89123-2891
Phone (702) 779-3902

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
I20170814000941 NV Practitioner - General PracticePractitioner - Internal MedicinePractitioner - Hospitalist 3577788637 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nevada Acute Medical Services-Scherr 1 PCGroup PAC ID 6103101738, 68 clinicians
Ian K Yamane D C P CGroup PAC ID 2062305873, 4 clinicians
Sunrise Health Clinics LLCGroup PAC ID 6406143239, 6 clinicians

Practice addresses (Care Compare)

1250 S Valley View Blvd
Las Vegas, NV 89102-1855
Phone (702) 877-8898

2851 N Tenaya Way
Suite 205
Las Vegas, NV 89128-0453
Phone (702) 309-4878

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

6767 W Tropicana Ave
Suite 100
Las Vegas, NV 89103-4755
Phone (702) 209-0370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76516GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Post-Acute Medical Services-Scherr 1 PC CurrentSince Apr 29, 2024 Accepting new patients
CS Pacs 3 West LLC CurrentSince Sep 9, 2024 Accepting new patients
Ian K Yamane DC PC CurrentSince Dec 1, 2024 Accepting new patients
Rabessler MD PC Internal Medicine CurrentSince Jul 8, 2019 Accepting new patients
McLv2020 LLC Current Accepting new patients
NV Pacs 2 LLC CurrentSince Apr 29, 2024 Accepting new patients
Naz Wahab MD PC CurrentSince Aug 15, 2021 Accepting new patients
Sunrise Health Clinics LLC CurrentSince Apr 1, 2024 Accepting new patients
Bessler MD, PLLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Ian K Yamane DC PC Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince May 1, 2024 Accepting new patients
Reliant Physicians (Kumar) PLLC Internal Medicine PastSince Sep 24, 2023 Accepting new patients
Sunrise Health Clinics LLC Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
NCC House Calls LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Las Vegas - Amg Specialty Hospital, LLC Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

2440 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 564-1858

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

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

2851 N Tenaya Way
Ste 205
Las Vegas, NV 89128
Phone (702) 309-4878

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

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

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

6767 W Tropicana Ave
Ste 100
Las Vegas, NV 89103
Phone (702) 209-0370

8425 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 202-2060

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCHHDD/Endpoint/FCHHDD
  • Direct secure messaging: jonathan.maxham.1@32449.direct.athenahealth.com

Organizations & group practices 17

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 17

Hospital & facility affiliations 1

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1811124589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 N TENAYA WAY STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280453",
            "telephone_number": "702-658-0204",
            "fax_number": "702-658-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522731",
            "telephone_number": "702-798-7171",
            "fax_number": "702-436-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8425 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232891",
            "country_code": "US",
            "telephone_number": "702-779-3902",
            "fax_number": "866-536-1461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXHAM",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "76516",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO2202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.