Individual provider Active NPI

John Hulshoff, DO

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1841480928
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO2417 Issued in NV
Practice address
5320 S Rainbow Blvd Ste 182
Las Vegas, NV 89118
Phone
(702) 479-4886
Fax
(702) 671-6883
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0102202168 VA
Obstetrics & Gynecology Physician 207V00000X DO2417 NV Primary

Addresses

Primary practice location

5320 S Rainbow Blvd Ste 182
Las Vegas, NV 89118

Mailing address

5320 S Rainbow Blvd Ste 182
Las Vegas, NV 89118-1896
Phone (702) 479-4886

Other identifiers 1

IdentifierTypeStateIssuer
0116018903MedicaidVA

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
I20180829002841 NV Practitioner - Obstetrics/Gynecology 6901977743 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 1, 2022 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 27, 2023 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Intermountain Medical Holdings Nevada Inc Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
Henrico Doctors OB GYN Specialists LLC Obstetrics & Gynecology Past Accepting new patients
Wellmont Physician Services Inc Obstetrics & Gynecology Past Accepting new patients

Locations

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

6355 S Buffalo Dr
Las Vegas, NV 89113
Phone (702) 952-9171

5320 S Rainbow Blvd
Ste 150
Las Vegas, NV 89118
Phone (702) 944-7105

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

5320 S Rainbow Blvd
Ste 182
Las Vegas, NV 89118
Phone (702) 304-5722

2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Organizations & group practices 7

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1841480928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 S RAINBOW BLVD STE 182",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181896",
            "telephone_number": "702-479-4886",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 S RAINBOW BLVD STE 182",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-479-4886",
            "fax_number": "702-671-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSHOFF",
        "first_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0102202168",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "DO2417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116018903",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.