Individual provider Active NPI

Paul T. Emery, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1194798215
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6387 Issued in NV
Practice address
4015 S Buffalo Dr Ste 1
Las Vegas, NV 89147
Phone
(725) 293-4602
NPI assigned
Feb 9, 2006
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6387 NV Primary

Addresses

Primary practice location

4015 S Buffalo Dr Ste 1
Las Vegas, NV 89147

Mailing address

102 Woodmont Blvd Suite 600
Nashville, TN 37205-5250
Phone (615) 315-5257

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
I20070608000049 NV Practitioner - Internal Medicine 2163520545 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Primary Care Physicians, Inc. Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Internal Medicine Associates Laboratory Past Accepting new patients
Edelstein Medical Group, PLLC Internal Medicine Past Accepting new patients
Copeland - Beajow Medical Institute, CHTD Internal Medicine Past Accepting new patients

Locations

2650 Lake Sahara Dr
Ste 100
Las Vegas, NV 89117
Phone (702) 293-0176

2870 S Maryland Pkwy
Ste 120
Las Vegas, NV 89109
Phone (702) 456-3120

7190 Smoke Ranch Rd
Ste 150
Las Vegas, NV 89128
Phone (702) 434-7246

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1194798215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD SUITE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "615-315-5257",
            "fax_number": "615-692-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S BUFFALO DR STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89147",
            "telephone_number": "725-293-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY",
        "first_name": "PAUL",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-06-26",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "6387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.