Active NPI
Kealanalani R Thompson, M.D.
- Emergency Medicine Physician
- Las Vegas, NV
National Provider Identifier
1124057443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD12769
- Practice address
- 500 N Rainbow Blvd
Suite 203
Las Vegas, NV 89107-1082 - Phone
- (702) 259-1228
- Fax
- (702) 259-1252
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD12769 | HI | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 12506 | NV |
Addresses
Primary practice location
500 N Rainbow Blvd
Suite 203
Las Vegas, NV 89107-1082
Mailing address
500 N Rainbow Blvd
Suite 203
Las Vegas, NV 89107-1082
Phone (702) 259-1228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55426301 | Medicaid | HI |
Other names 1
- Kealanalani R Richards
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12769 | HI | MD | Emergency Medicine Physician |
| 12506 | NV | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadow Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Shadow Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| The Emergency Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| Doctors Medical Services, Emcare | Past | Accepting new patients | |
| Valley Hospital Medical Center | Past | Accepting new patients |
Locations
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1184795874
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1043030919
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1578850962
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1417947490
-
- Emergency Medicine Physician
- Honolulu, HI
- NPI 1013943414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1124057443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N RAINBOW BLVD",
"address_2": "SUITE 203",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071082",
"telephone_number": "702-259-1228",
"fax_number": "702-259-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N RAINBOW BLVD",
"address_2": "SUITE 203",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071082",
"telephone_number": "702-259-1228",
"fax_number": "702-259-1252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KEALANALANI",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "MD12769",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NV",
"license": "12506",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55426301",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KEALANALANI",
"last_name": "RICHARDS",
"middle_name": "R",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.