Individual provider Active NPI

Matthew Tsao Kiok

  • Occupational Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1184127953
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
22128 Issued in NV
Practice address
2810 W Charleston Blvd Ste 60
Las Vegas, NV 89102-1906
Phone
(702) 530-1031
NPI assigned
Mar 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X A164749 CA
Occupational Medicine Physician 2083X0100X 22128 NV Primary

Addresses

Primary practice location

2810 W Charleston Blvd Ste 60
Las Vegas, NV 89102-1906

Mailing address

2810 W Charleston Blvd Ste 60
Las Vegas, NV 89102-1906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 16, 2022 through Nov 16, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164749CAMDOccupational Medicine Physician
22128NVMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kiok Physician Services PC Occupational Medicine CurrentSince Nov 20, 2022 Accepting new patients

Locations

2810 W Charleston Blvd
Ste 60
Las Vegas, NV 89102
Phone (702) 530-1031

Interoperability endpoints

  • Direct secure messaging: matthew.kiok@529886264033284.direct.elationemr.com

Organizations & group practices 1

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": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1184127953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 60",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 60",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021906",
            "telephone_number": "702-530-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIOK",
        "first_name": "MATTHEW",
        "middle_name": "TSAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-17",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A164749",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NV",
            "license": "22128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.