Individual provider Active NPI

Gregory Yim

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1215513635
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO3501 Issued in NV
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

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240104003124 NV Practitioner - Emergency MedicinePractitioner - Family Practice 6002210242 Reassigns benefits to 1 organization
I20240112002083 AZ Practitioner - Emergency Medicine 6002210242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fremont Emergency Services Scherr LTDGroup PAC ID 4880684554, 135 clinicians

Practice addresses (Care Compare)

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (856) 686-4394

Hospital & facility affiliations

  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO3501NVMDEmergency Medicine Physician
010750AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Omuc LLC CurrentSince Oct 23, 2023 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Jul 10, 2024 Accepting new patients
Arizona Emergency Medicine Specialists PC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Jul 10, 2024 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.