Individual provider Active NPI

Edsel Iway, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1093097735
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.133914 Issued in IL
Practice address
2855 S Bronco St
Las Vegas, NV 89146-5207
Phone
(888) 499-9273
Fax
(702) 926-9658
NPI assigned
Sep 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15335 NV
Internal Medicine Physician 207R00000X 036.133914 IL Primary

Addresses

Primary practice location

2855 S Bronco St
Las Vegas, NV 89146-5207

Mailing address

2855 S Bronco St
Las Vegas, NV 89146-5207
Phone (412) 519-5197

Other practice location 1

1201 S Jones Blvd Ste 103
Las Vegas, NV 89146-0901
Phone (205) 964-2924

Other identifiers 1

IdentifierTypeStateIssuer
15335OtherNVNEVADA LICENSE

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
I20140925001152 NV Practitioner - Internal Medicine 3577783505 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2855 S Bronco St
Las Vegas, NV 89146-5207
Phone (702) 329-9002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.15 of 100Reported as group
Quality
36.67
Improvement activities
40
Cost
61.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.133914ILMDInternal Medicine Physician
15335NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Hospitalists LLP Internal Medicine CurrentSince Nov 6, 2016 Accepting new patients
Raj P. Singh MD PLLC Internal Medicine CurrentSince Feb 18, 2020 Accepting new patients
Medical Consultant Services LLC Internal Medicine Current Accepting new patients
Platinum Hospitalists LLP Internal Medicine CurrentSince Nov 6, 2016 Accepting new patients
Nevada Community Hospice LLC PastSince May 22, 2022 Accepting new patients
Platinum Hospitalists, LLP Internal Medicine PastSince Aug 11, 2024 Accepting new patients

Locations

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

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3900 W Charleston Blvd
Ste 170
Las Vegas, NV 89102
Phone (702) 362-2273

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1093097735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 S BRONCO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465207",
            "telephone_number": "412-519-5197",
            "fax_number": "702-685-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 S BRONCO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465207",
            "telephone_number": "888-499-9273",
            "fax_number": "702-926-9658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Jones Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891460901",
            "country_code": "US",
            "telephone_number": "205-964-2924",
            "fax_number": "702-745-2182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWAY",
        "first_name": "EDSEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-19",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "15335",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.133914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA LICENSE",
            "identifier": "15335",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.