Individual provider Active NPI

Joseph Yoo Kim, MD

  • Vascular Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1407281124
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
21370 Issued in NV
Practice address
3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone
(702) 961-7310
NPI assigned
Sep 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD191591 OR
Neurology Physician 2084N0400X 21370 NV
Neurology Physician 2084N0400X 102626 GA
Vascular Neurology Physician 2084V0102X 21370 NV Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317

Mailing address

10624 S Eastern Ave
Henderson, NV 89052-2982
Phone (702) 407-7700

Other practice location 1

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000

Other identifiers 2

IdentifierTypeStateIssuer
1407281124MedicaidNV
V70321OtherNVMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, ND, CA, GA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210923003201 NV Practitioner - Neurology 6507142080 Reassigns benefits to 4 organizations
I20230626002814 ND Practitioner - Neurology 6507142080
I20240328000970 CA Practitioner - Neurology 6507142080 Reassigns benefits to 2 organizations
I20250211004001 GA Practitioner - Neurology 6507142080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Touro University Medical GroupGroup PAC ID 5799119541, 23 clinicians
Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89117
Phone (800) 782-8581

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

1805 N California St
Suite 201
Stockton, CA 95204-6032
Phone (209) 943-2000

5495 S Rainbow Blvd
Suite 202
Las Vegas, NV 89118-1873
Phone (725) 205-1249

7495 W Azure Dr
Suite 209
Las Vegas, NV 89130-4440
Phone (702) 407-7700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102626GAMDNeurology Physician
21370NVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Touro University Medical Group Neurology CurrentSince Feb 13, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 1, 2025 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jan 14, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 26, 2025 Accepting new patients
Platinum Hospitalists LLP Current Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 1, 2025 Accepting new patients
Platinum Hospitalists, LLP CurrentSince May 8, 2025 Accepting new patients
Platinum Hospitalists LLP CurrentSince May 8, 2025 Accepting new patients
City of Hope Medical Foundation CurrentSince Dec 8, 2025 Accepting new patients

Locations

1000 Fivepoint
Ste A
Irvine, CA 92618
Phone (888) 333-4673

1000 Fivepoint
Irvine, CA 92618
Phone (888) 333-4673

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

1805 N California St
Ste 201
Stockton, CA 95204
Phone (209) 479-3900

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

10624 S Eastern Ave
Henderson, NV 89052
Phone (702) 551-9085

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

10624 S Eastern Ave
Ste A995
Henderson, NV 89052

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e0d732aa-1d5c-42bf-b672-8fabe3feb437/

Organizations & group practices 10

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 3

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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1407281124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-407-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092317",
            "telephone_number": "702-961-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Johnson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421606",
            "country_code": "US",
            "telephone_number": "404-851-8000",
            "fax_number": "404-303-3759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOSEPH",
        "middle_name": "YOO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD191591",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "21370",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "102626",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NV",
            "license": "21370",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407281124",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "V70321",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.