Individual provider Active NPI

Krystal Lynn Ribeiro, M.D.

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1043638406
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18758 Issued in NV
Practice address
9880 W Flamingo Rd
Las Vegas, NV 89147-8085
Phone
(702) 216-7335
Fax
(702) 243-2560
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.129612 OH
Emergency Medicine Physician 207P00000X 18758 NV Primary

Addresses

Primary practice location

9880 W Flamingo Rd
Las Vegas, NV 89147-8085

Mailing address

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

Other practice location 1

4855 Blue Diamond Rd
Las Vegas, NV 89139-7602
Phone (702) 216-7305

Other practice location 2

1550 W Craig Rd
North Las Vegas, NV 89032-0327
Phone (702) 777-3615

Other practice location 3

4980 W Sahara Ave
Las Vegas, NV 89146-3402
Phone (702) 216-7365

Other practice location 4

200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone (615) 768-2000

Other names 1

  • Krystal Lynn Carlos Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924002647 NV Practitioner - Emergency Medicine 5395040943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4855 Blue Diamond Rd
Suite 100
Las Vegas, NV 89139-7602
Phone (702) 216-7305

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18758NVMDEmergency Medicine Physician
35.129612OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 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 CurrentSince Jul 9, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

4855 Blue Diamond Rd
Ste 100
Las Vegas, NV 89139
Phone (702) 216-7305

4980 W Sahara Ave
Ste 100
Las Vegas, NV 89146
Phone (702) 216-7365

Organizations & group practices 3

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 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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1043638406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STONECREST BLVD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "37167",
            "telephone_number": "615-768-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 W FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478085",
            "telephone_number": "702-216-7335",
            "fax_number": "702-243-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4855 Blue Diamond Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891397602",
            "country_code": "US",
            "telephone_number": "702-216-7305",
            "fax_number": "702-634-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 W Craig Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890320327",
            "country_code": "US",
            "telephone_number": "702-777-3615",
            "fax_number": "702-642-0808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4980 W Sahara Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463402",
            "country_code": "US",
            "telephone_number": "702-216-7365",
            "fax_number": "702-889-0585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Stonecrest Blvd",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676810",
            "country_code": "US",
            "telephone_number": "615-768-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIBEIRO",
        "first_name": "KRYSTAL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.129612",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "18758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "CARLOS",
            "middle_name": "LYNN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.