NPIMap

Individual provider Active NPI

Daniel T Kokmeyer, MD

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1366604290
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
15443 Issued in NV
Practice address
9321 W. Sunset Rd.
Las Vegas, NV 89148
Phone
(702) 645-7800
Fax
(702) 650-0865
NPI assigned
Jul 1, 2008
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 15443 NV Primary

Addresses

Primary practice location

9321 W. Sunset Rd.
Las Vegas, NV 89148

Mailing address

9321 W. Sunset Rd.
Las Vegas, NV 89148
Phone (775) 645-7800

Other identifiers 2

IdentifierTypeStateIssuer
12512868OtherCAQH
P01419836OtherNVRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140818000383 NV Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 5395985279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Ohio State University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand Surgery Specialists of Nevada Young LLPGroup PAC ID 4789740960, 5 clinicians

Practice addresses (Care Compare)

9321 W Sunset Rd
Las Vegas, NV 89148-4845
Phone (702) 645-7800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Surgery Specialists of Nevada Young LLP CurrentSince Jan 25, 2017 Accepting new patients
Hand Surgery Specialists of Nevada Young LLP CurrentSince Jan 25, 2017 Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Locations

9321 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 216-9304

1617 E Windmill Ln
Ste 100
Las Vegas, NV 89123
Phone (702) 216-9304

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.

Hospital & facility affiliations 12

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1366604290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9321 W. SUNSET RD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "775-645-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 W. SUNSET RD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-645-7800",
            "fax_number": "702-650-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKMEYER",
        "first_name": "DANIEL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "15443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12512868",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01419836",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.