Individual provider Active NPI

Ryan Hafen, M.D.

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1851659213
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16966 Issued in NV
Practice address
2450 W Charleston Blvd
Las Vegas, NV 89102-2179
Phone
(702) 877-8661
NPI assigned
Apr 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 16966 NV Primary

Addresses

Primary practice location

2450 W Charleston Blvd
Las Vegas, NV 89102-2179

Mailing address

PO Box 35380
Las Vegas, NV 89133

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
I20170803003292 NV Practitioner - Anesthesiology 2062783319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Univ of Nevada, Las Vegas School of Dental Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fielden,Hanson,Isaacs,Miyada,Robison,Yeh LTDGroup PAC ID 5799683462, 168 clinicians

Practice addresses (Care Compare)

3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 616-5000

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 961-8434

657 N Town Ctr Dr
Las Vegas, NV 89144-6367
Phone (702) 233-7000

8280 W Warm Springs Rd
Las Vegas, NV 89113-3612
Phone (702) 492-8000

9127 W Russell Rd
Suite 110
Las Vegas, NV 89148-1253
Phone (702) 878-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.25 of 100Reported as group
Quality
74.41
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16966NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group II Rhodes P C CurrentSince Aug 1, 2017 Accepting new patients
Fielden Hanson Isaacs Miyada Robison Yeh LTD Anesthesiology CurrentSince Oct 9, 2020 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince May 12, 2021 Accepting new patients
Optum Medical Group Rhodes P C Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince May 12, 2021 Accepting new patients

Locations

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

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

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

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

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

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.

Hospital & facility affiliations 4

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1851659213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022179",
            "telephone_number": "702-877-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEN",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "16966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.