Individual provider Active NPI

Eunah Hong, D.P.M

  • Podiatrist
  • Las Vegas, NV
National Provider Identifier
1144500919
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1207 Issued in NV
Practice address
2601 N Tenaya Way
Las Vegas, NV 89128
Phone
(702) 233-4950
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1207 NV Primary

Addresses

Primary practice location

2601 N Tenaya Way
Las Vegas, NV 89128

Mailing address

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329
Phone (626) 222-8005

Other practice location 1

7350 W Cheyenne Ave
Suite 110
Las Vegas, NV 89129-7445
Phone (702) 522-7731

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121109000387 NV Practitioner - Podiatry 9032382312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albion Medical Group of Nevada, PCGroup PAC ID 4183891294, 23 clinicians

Practice addresses (Care Compare)

3041 E Flamingo Rd
Suite a
Las Vegas, NV 89121-7447
Phone (702) 436-0835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1207NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Group of Nevada, PC CurrentSince Jan 1, 2021 Accepting new patients
Dignity Health PastSince Feb 24, 2014 Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

3041 E Flamingo Rd
Ste A
Las Vegas, NV 89121
Phone (702) 436-0835

3150 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 233-4950

Interoperability endpoints

  • Direct secure messaging: euhah.hong.p1@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: eunah.hong.1@32527.direct.athenahealth.com
  • Direct secure messaging: eunah.hong.p5@direct.caremorewest.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1144500919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "626-222-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-233-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7350 W Cheyenne Ave",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891297445",
            "country_code": "US",
            "telephone_number": "702-522-7731",
            "fax_number": "702-522-7832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "EUNAH",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "1207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.