NPIMap

Individual provider Active NPI

Shane S Pak, MD

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1528002334
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
28937 Issued in NV
Practice address
7195 Advanced Way
Las Vegas, NV 89113-3691
Phone
(702) 740-5327
Fax
(702) 740-5328
NPI assigned
Jun 15, 2006
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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 28937 NV Primary

Addresses

Primary practice location

7195 Advanced Way
Las Vegas, NV 89113-3691

Mailing address

7195 Advanced Way
Las Vegas, NV 89113-3691
Phone (702) 740-5327

Other practice location 1

8230 W Sahara Ave Ste 111
Las Vegas, NV 89117-8930
Phone (702) 740-5327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070514000644 CA Practitioner - Orthopedic Surgery 4385741081 Reassigns benefits to 1 organization
I20260407004176 NV Practitioner - Orthopedic Surgery 4385741081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

707 S Garfield Ave
Suite 201
Alhambra, CA 91801-5861
Phone (626) 656-1260

7195 Advanced Way
Las Vegas, NV 89113-3691
Phone (702) 740-5327

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion71
Laminectomy or laminotomy (partial removal of spine bones)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C52715CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yee Advanced Orthopedics and Sports Medicine PC CurrentSince Mar 1, 2026 Accepting new patients
Pacific Orthopaedic Medical Group, Inc. Orthopaedic Surgery CurrentSince Jun 16, 2024 Accepting new patients
Pacific Orthopaedic Associates Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Greater Chesapeake Orthopedics Associates, LLC Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients

Locations

707 S Garfield Ave
Ste 201
Alhambra, CA 91801
Phone (626) 656-1260

2904 W Horizon Ridge Pkwy
Ste 101
Henderson, NV 89052
Phone (702) 292-3774

7195 Advanced Way
Las Vegas, NV 89113

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1075

Organizations & group practices 8

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 6

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1528002334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7195 ADVANCED WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133691",
            "telephone_number": "702-740-5327",
            "fax_number": "702-740-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7195 ADVANCED WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133691",
            "telephone_number": "702-740-5327",
            "fax_number": "702-740-5328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8230 W Sahara Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891178930",
            "country_code": "US",
            "telephone_number": "702-740-5327",
            "fax_number": "702-740-5328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAK",
        "first_name": "SHANE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "28937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.