NPIMap

Individual provider Active NPI

Lindsay T Hansen, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1942238860
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8106 Issued in NV
Practice address
9940 W Flamingo Rd Ste 100
Las Vegas, NV 89147-8553
Phone
(702) 240-8111
Fax
(702) 240-0658
NPI assigned
Jun 29, 2006
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8106 NV Primary

Addresses

Primary practice location

9940 W Flamingo Rd Ste 100
Las Vegas, NV 89147-8553

Mailing address

9940 W Flamingo Rd Ste 100
Las Vegas, NV 89147-8553
Phone (702) 240-8111

Other identifiers 3

IdentifierTypeStateIssuer
NV1804OtherNVBLUE CROSS BLUE SHIELD
002002187MedicaidNV
110171466OtherNVRAILROAD MEDICARE

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
I20101013000856 NV Practitioner - Internal Medicine 8729122387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9940 W Flamingo Rd
Suite 100
Las Vegas, NV 89147-8553
Phone (702) 240-8111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.5 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8106NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Hansen M D Chartered Internal Medicine CurrentSince Oct 9, 2000 Accepting new patients
Advanced Cardiovascular Specialists PastSince Oct 9, 2000 Accepting new patients

Locations

653 N Town Center Dr
Ste 506
Las Vegas, NV 89144
Phone (702) 478-6393

9940 W Flamingo Rd
Ste 100
Las Vegas, NV 89147
Phone (702) 240-8111

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1942238860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 W FLAMINGO RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478553",
            "telephone_number": "702-240-8111",
            "fax_number": "702-240-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 W FLAMINGO RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478553",
            "telephone_number": "702-240-8111",
            "fax_number": "702-240-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LINDSAY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NV1804",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002187",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110171466",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.