Active NPI
Gregory Yim
- Emergency Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO3501
- Practice address
- 3100 N. Tenaya Way
Graduate Medical Education
Las Vegas, NV 89128-0431 - Phone
- (702) 962-9551
- NPI assigned
- Mar 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 010750 | AZ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | DO3501 | NV | Primary |
Addresses
Primary practice location
3100 N. Tenaya Way
Graduate Medical Education
Las Vegas, NV 89128-0431
Mailing address
3100 N. Tenaya Way
Graduate Medical Education
Las Vegas, NV 89128-0431
Phone (702) 962-9551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (856) 686-4394
Hospital & facility affiliations
- Havasu Regional Medical Center
- Mountainview Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO3501 | NV | MD | Emergency Medicine Physician |
| 010750 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Southwest, PC | Emergency Medicine | Current | Accepting new patients |
| Omuc LLC | Current | Accepting new patients | |
| Fremont Emergency Services Scherr LTD | Emergency Medicine | Current | Accepting new patients |
| Arizona Emergency Medicine Specialists PC | Emergency Medicine | Current | Accepting new patients |
| Fremont Emergency Services Scherr LTD | Emergency Medicine | Current | Accepting new patients |
Locations
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100
3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
1501 E Calvada Blvd
Pahrump, NV 89048
Phone (775) 477-2273
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 1679550149
-
- Emergency Medicine Physician
- Lake Havasu City, AZ
- NPI 1134439706
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
-
- Emergency Medicine Physician
- North Las Vegas, NV
- NPI 1316488141
-
- Urgent Care Clinic/Center
- Pahrump, NV
- NPI 1316648777
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
-
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1215513635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 N. TENAYA WAY",
"address_2": "GRADUATE MEDICAL EDUCATION",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280431",
"telephone_number": "702-962-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 N. TENAYA WAY",
"address_2": "GRADUATE MEDICAL EDUCATION",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280431",
"telephone_number": "702-962-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIM",
"first_name": "GREGORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "010750",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "DO3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.