NPIMap

Individual provider Active NPI

Esteban C Hennings, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1932210457
Registry record updated Aug 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10908 Issued in NV
Practice address
3201 S Maryland Pkwy Ste 512
Las Vegas, NV 89109-2427
Phone
(702) 685-7700
Fax
(702) 629-7800
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 10908 NV
Internal Medicine Physician 207R00000X 10908 NV Primary

Addresses

Primary practice location

3201 S Maryland Pkwy Ste 512
Las Vegas, NV 89109-2427

Mailing address

284 E Lake Mead Pkwy Ste C
PMB 261
Henderson, NV 89015-6433
Phone (702) 685-7700

Other identifiers 1

IdentifierTypeStateIssuer
P00257864OtherRAILROAD CARRIER

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
I20040713000092 NV Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6305824681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3201 S Maryland Pkwy
Suite 512
Las Vegas, NV 89109-2427
Phone (702) 685-7700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Valley Medical Center Past Accepting new patients
Primary Care Inc Internal Medicine Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Health Care Center of Southern Nevada Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

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.

Hospital & facility affiliations 6

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1932210457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 E LAKE MEAD PKWY STE C",
            "address_2": "PMB 261",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156433",
            "telephone_number": "702-685-7700",
            "fax_number": "702-629-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY STE 512",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092427",
            "telephone_number": "702-685-7700",
            "fax_number": "702-629-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGS",
        "first_name": "ESTEBAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "10908",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARRIER",
            "identifier": "P00257864",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.