Individual provider Active NPI

Kourosh Yazdani, MD

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1407474976
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
23104 Issued in NV
Practice address
3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone
(702) 961-5000
NPI assigned
Jul 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 23104 NV Primary

Addresses

Primary practice location

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317

Mailing address

1964 1St Ave Apt 11Q
New York, NY 10029-6424
Phone (347) 443-4435

Other practice location 1

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 962-5000

Other practice location 2

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 916-5000

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
I20230807003691 NV Practitioner - Emergency Medicine 5395106363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
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

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23104NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD Emergency Medicine Current Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

9860 W Skye Cyn Dr
Las Vegas, NV 89166

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

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

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.

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": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1407474976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 1ST AVE APT 11Q",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296424",
            "telephone_number": "347-443-4435"
        },
        {
            "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": "702-961-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 N Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280436",
            "country_code": "US",
            "telephone_number": "702-962-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 W Sunset Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484844",
            "country_code": "US",
            "telephone_number": "702-916-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAZDANI",
        "first_name": "KOUROSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-10",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": "23104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.