NPIMap

Individual provider Active NPI

Jimmy Diep, M.D.

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1023132511
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13444 Issued in NV
Practice address
4275 Burnham Ave Ste 100
Las Vegas, NV 89119-5400
Phone
(702) 240-6482
Fax
(702) 240-8529
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 13444 NV
Cardiovascular Disease Physician 207RC0000X 13444 NV Primary
Internal Medicine Physician 207R00000X 13444 NV
Internal Medicine Physician 207R00000X A111256 CA

Addresses

Primary practice location

4275 Burnham Ave Ste 100
Las Vegas, NV 89119-5400

Mailing address

700 E Silverado Ranch Blvd Ste 170
Las Vegas, NV 89183-7518
Phone (702) 240-6482

Other identifiers 3

IdentifierTypeStateIssuer
13444OtherNVNV MEDICAL LICENSE
LL1738OtherNVMEDICAL LICENSE
CS18484OtherNVNV PHARMACY

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
I20100626000523 NV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941331409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1440 E Calvada Blvd
Suite 700
Pahrump, NV 89048-5856
Phone (702) 240-6482

2724 N Tenaya Way
Suite 100
Las Vegas, NV 89128-0424
Phone (702) 240-6482

2839 Saint Rose Pkwy
Suite 160
Henderson, NV 89052-4849
Phone (702) 240-6482

3150 N Tenaya Way
Suite 135
Las Vegas, NV 89128-0463
Phone (702) 240-6482

401 N Buffalo Dr
Las Vegas, NV 89145-0397
Phone (702) 240-6482

4275 Burnham Ave
Suite 100
Las Vegas, NV 89119-5400
Phone (702) 240-6482

500 E Windmill LN
Suite 140
Las Vegas, NV 89123-1847
Phone (702) 240-6482

56 N Pecos Rd
Suite B
Henderson, NV 89074-7332
Phone (702) 240-6482

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111256CAMDInternal Medicine Physician
13444NVMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jdiep10395@direct.umcsn.com
  • Direct secure messaging: jimmy.diep.1@29724.direct.athenahealth.com
  • Direct secure messaging: jimmy.diep.p2@direct.elkochc.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023132511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E SILVERADO RANCH BLVD STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837518",
            "telephone_number": "702-240-6482",
            "fax_number": "702-804-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195400",
            "telephone_number": "702-240-6482",
            "fax_number": "702-240-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEP",
        "first_name": "JIMMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "13444",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "13444",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13444",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A111256",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MEDICAL LICENSE",
            "identifier": "13444",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "LL1738",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV PHARMACY",
            "identifier": "CS18484",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.