Individual provider Active NPI

Ronald J Kohn, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1306881446
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11112 Issued in NV
Practice address
5081 N Rainbow Blvd
Suite 110
Las Vegas, NV 89130-1626
Phone
(702) 487-6500
Fax
(702) 487-6501
NPI assigned
Jun 20, 2006
Last updated
Dec 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11112 NV Primary

Addresses

Primary practice location

5081 N Rainbow Blvd
Suite 110
Las Vegas, NV 89130-1626

Mailing address

5081 N Rainbow Blvd
Suite 110
Las Vegas, NV 89130-1626
Phone (702) 487-6500

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
I20050107000785 NV Practitioner - Family Practice 3577511344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5081 N Rainbow Blvd
Suite 110
Las Vegas, NV 89130-3860
Phone (702) 487-6500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RJ Kohn Family Medicine Professional Corp Family Medicine CurrentSince Nov 1, 2006 Accepting new patients
Desert Pines Family Health Center Family Medicine Past Accepting new patients
Sparks Family Medicine LTD Family Medicine Past Accepting new patients

Locations

5081 N Rainbow Blvd
Ste 110
Las Vegas, NV 89130
Phone (702) 487-6500

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, 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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1306881446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5081 N RAINBOW BLVD",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301626",
            "telephone_number": "702-487-6500",
            "fax_number": "702-487-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5081 N RAINBOW BLVD",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301626",
            "telephone_number": "702-487-6500",
            "fax_number": "702-487-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHN",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.