Tiffany Kim, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3007 Issued in NV

Practice address

302 E Carson Ave FL 10
Las Vegas, NV 89101-5905

Phone

(855) 434-7763

Fax

(949) 281-5550

NPI assigned

Aug 21, 2023

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crovetti Bone and Joint Institute of Southern NevadaGroup PAC ID 8527966936, 12 clinicians

Geiss Med Nevada PCGroup PAC ID 8921400599, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Choice Home Health Care Inc Home health agency, Las Vegas, NV, CCN 297107
• Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Merit-based Incentive Payment System (MIPS)

Final score

66.6 of 100Reported as group

Quality

77.73

Promoting interoperability

27

Improvement activities

40

Cost

55.11

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Crovetti Bone and Joint Institute of Southern Nevada

  dba Crovetti Orthopaedics and Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Henderson, NV
  • NPI 1487788873
  Medicare reassignment Care Compare group
• Geiss Med Nevada PC

  • Family Medicine Physician
  • Orange, CA
  • NPI 1033793963

  NV

  Medicare reassignment Care Compare group

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

• Physicians Choice Home Health Care, Inc

  • Home Health Agency
  • Pahrump, NV
  • NPI 1437210861
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  dba Summerlin Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  dba ER at South Summerlin, Extension of Summerlin Hospital

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1861234619

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1033993266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 N SANTIAGO BLVD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928671862",
            "telephone_number": "855-434-7763",
            "fax_number": "949-281-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E CARSON AVE FL 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891015905",
            "telephone_number": "855-434-7763",
            "fax_number": "949-281-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TIFFANY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suri Sukyeong Kim
• Tae Kim
• Taekyu Kim, PHARM.D
• Tawny Kim
• Thomas C. Kim, MD
• Vanessa Kim, O.D.
• Victor Lee Kim, DO
• Vida Rose Kim, APRN, NP-C
• Wanseung Kim, APRN
• William Kim, M.D.

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.

Verify at the official NPI Registry.