DR. PAUL DAVID HILES M.D.
NPI 1821380643
Internal Medicine - Critical Care Medicine in North Las Vegas, NV

Active since May 12, 2011PECOS EnrolledAccepts Medicare Assignment
4040 N MLK BLVD, NORTH LAS VEGAS, NV 89032(703) 470-5685 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, Aug 17, 2023, Jun 7, 2022 and 3 more (6 updates tracked since 2017).

About Dr. Paul David Hiles M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL DAVID HILES M.D. (NPI 1821380643) is an individual critical care medicine provider in North Las Vegas, Nevada, licensed in Nevada (22136) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2011).

NPPES Registry Identity

NPI1821380643
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. PAUL DAVID HILESCredential: M.D.
Location Address4040 N MLK BLVDNorth Las Vegas, NV 89032-3205
Mailing Address4040 N Mlk BlvdNorth Las Vegas, NV 89032-3205 · (703) 470-5685
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2011
Enumeration DateMay 12, 2011
Last NPPES UpdateJuly 9, 20266 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1821380643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in NV · 22136
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
4040 N MLK BLVD, North Las Vegas, NV 89032

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul David Hiles M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143462010
PECOS Enrollment IDI20221109002210
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Paul Hiles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
4040 N MARTIN LUTHER KING BLVD, SUITE A
North Las Vegas, NV 89032
  • Reassigned Medicare billing, Nevada enrollment
  • 33 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers15 claims15 services$14.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers23 claims23 services$70.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4040 N MLK BLVD
NORTH LAS VEGAS, NV 89032
Nurse Practitioner (Family)
4040 N MLK BLVD
NORTH LAS VEGAS, NV 89032
Nurse Practitioner (Family)
4040 N MLK BLVD
NORTH LAS VEGAS, NV 89032
Nurse Practitioner (Family)
4040 N MLK BLVD
NORTH LAS VEGAS, NV 89032
Nurse Practitioner (Family)
4040 N MLK BLVD
NORTH LAS VEGAS, NV 89032
Nurse Practitioner (Family)
4040 N MLK BLVD
NORTH LAS VEGAS, NV 89032
Nurse Practitioner (Family)
4040 N MLK BLVD
NORTH LAS VEGAS, NV 89032
Nurse Practitioner (Family)
4040 N MLK BLVD
NORTH LAS VEGAS, NV 89032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Hiles's NPI number?

The NPI number for Paul Hiles is 1821380643. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Where is Paul Hiles located?

Paul Hiles practices at 4040 N Mlk Blvd, North Las Vegas, NV 89032. The listed phone number is (703) 470-5685.

What is Paul Hiles's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Paul Hiles enrolled in Medicare?

Yes. Paul Hiles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Paul Hiles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Hiles reassigns Medicare benefits to Hope Christian Health Center Corp (North Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Hiles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Hiles accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Paul Hiles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Hiles was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.