Reuben I Thaker, MD MPH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16340 Issued in NV

Practice address

9420 W Sahara Ave Ste 105
Las Vegas, NV 89117-8800

Phone

(702) 545-0660

Fax

(253) 461-7851

NPI assigned

Jun 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV, MO2 enrollments

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 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: reuben.thaker.1@14191.direct.athenahealth.com

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.

• Spine and Wellness Medical Group PLLC

  • Physical Medicine & Rehabilitation Physician
  • Pahrump, NV
  • NPI 1245008952
  Medicare reassignment NPD
• Reuben I Thaker MD PLLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1629546585
  NPD Authorized official
• County of St Louis Division of Fiscal Management

  dba John C. Murphy Health Center

  • Federally Qualified Health Center (FQHC)
  • Berkeley, MO
  • NPI 1184519506
  NPD (past)
• Dexter Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Dexter, MO
  • NPI 1154365070
  NPD (past)
• Urgent Care Express LLC

  dba Urgent Care Express

  • Urgent Care Clinic/Center
  • Saint Joseph, MO
  • NPI 1407063209
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1881890432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 W SAHARA AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178800",
            "telephone_number": "702-545-0660",
            "fax_number": "253-461-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 W SAHARA AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178800",
            "telephone_number": "702-545-0660",
            "fax_number": "253-461-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKER",
        "first_name": "REUBEN",
        "middle_name": "I",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006033711",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "16340",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NV",
            "license": "16340",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "16340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881890432",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Thacker
• Natalie Andrea Thacker
• Danny Thai, PHARMD
• Qui H Thai, MD
• Theresa Thai, DMD
• Shilpa Bharat Thaker, MD
• Thalgott, a Professional Corporation (Center for Diseases and Surgery of the Spine)
• Thalgott, a Professional Corporation
• John S Thalgott, M.D.
• Robert H Thalgott, DMD, MS

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.