Active NPI
Tim Kuo, D.O.
- Emergency Medicine Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101020513
- Practice address
- 3001 Saint Rose Pkwy
Henderson, NV 89052-3839 - Phone
- (702) 616-6102
- NPI assigned
- Jul 3, 2013
- Last updated
- Nov 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO2201 | NV | |
| Emergency Medicine Physician | 207P00000X | 20A17032 | CA | |
| Emergency Medicine Physician | 207P00000X | 5101020513 | MI | Primary |
Addresses
Primary practice location
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Mailing address
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 616-6102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 E Lake Mead Pkwy
Henderson, NV 89015-5575
Phone (702) 616-4600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17032 | CA | MD | Emergency Medicine Physician |
| DO2201 | NV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solano Gateway Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Vituity-Nevada Medical Services Koury & Partners PC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Nevada Medical Services Koury & Partners PC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Nevada Medical Services Koury & Partners PC | Emergency Medicine | Current | Accepting new patients |
| Internal Medicine Solutions PLLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622
3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000
8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099
4980 W Sahara Ave
Ste 100
Las Vegas, NV 89146
Phone (702) 216-7365
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Incline Village, NV
- NPI 1396585154
-
- Emergency Medicine Physician
- Fairfield, CA
- NPI 1952344293
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1669272183
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1720828585
-
dba Center for Internal Medicine
- Internal Medicine Physician
- Livonia, MI
- NPI 1932746245
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Rose Dominican Hospital, Rose de Lima Campus
- General Acute Care Hospital
- Henderson, NV
- NPI 1447393152
-
dba St. Rose Dominican Hospital, San Martin Campus
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1528101284
-
dba St. Rose Dominican Hospital, Siena Campus
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605398400000",
"number": "1013357102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 SAINT ROSE PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523839",
"telephone_number": "702-616-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 SAINT ROSE PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523839",
"telephone_number": "702-616-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUO",
"first_name": "TIM",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-03",
"last_updated": "2020-11-15",
"certification_date": "2020-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "DO2201",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A17032",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101020513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.