Active NPI
Jason Kim, D.O.
- Emergency Medicine Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO2336
- Practice address
- 3001 Saint Rose Pkwy
Henderson, NV 89052-3839 - Phone
- (855) 400-2271
- NPI assigned
- May 18, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25507 | CA | |
| Emergency Medicine Physician | 207P00000X | DO2336 | NV | Primary |
Addresses
Primary practice location
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Mailing address
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (818) 621-7462
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180706000816 | NV | Practitioner - Emergency Medicine | 3274889126 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vituity-Nevada Medical Services Koury and Partners PC
Practice addresses (Care Compare)
4855 Blue Diamond Rd
Suite 100
Las Vegas, NV 89139-7602
Phone (702) 216-7305
Hospital & facility affiliations
- Saint Rose Dominican Hospitals - Siena Campus
- Saint Rose Dominican Hospitals - Rose de Lima
- Saint Rose Dominican Hospitals - San Martin Campus
- Saint Rose Dominican Hospitals - North Las Vegas
Merit-based Incentive Payment System (MIPS)
- Final score
- 45.69 of 100
- Quality
- 36.67
- Improvement activities
- 0
- Cost
- 61.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity-Nevada Medical Services Koury & Partners PC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Nevada Medical Services Koury & Partners PC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Nevada Medical Services Koury & Partners PC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622
3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000
8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099
4980 W Sahara Ave
Ste 100
Las Vegas, NV 89146
Phone (702) 216-7365
4855 Blue Diamond Rd
Ste 100
Las Vegas, NV 89139
Phone (702) 216-7305
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Incline Village, NV
- NPI 1396585154
Emergency Medicine, NV
-
- Emergency Medicine Physician
- Henderson, NV
- NPI 1528808383
Emergency Medicine
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1669272183
Emergency Medicine
Hospital & facility affiliations 8
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": "1400371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1386055853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 SAINT ROSE PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523839",
"telephone_number": "818-621-7462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 SAINT ROSE PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523839",
"telephone_number": "855-400-2271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-18",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "25507",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "DO2336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.