Pengfeng Jack Jin, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

27917 Issued in NV

Practice address

8905 W Post Rd Ste 110
Las Vegas, NV 89148-2429

Phone

(725) 325-4848

Fax

(888) 316-6618

NPI assigned

Mar 20, 2024

Last updated

May 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Internal Medicine

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Golden Health Hospitalist LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1811829823
  Medicare reassignment NPD Authorized official
• Golden Health Clinic LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1871394494
  NPD Authorized official
• Centerwell Senior Primary Care NV P C

  dba CenterWell Senior Primary Care-Spring Valley

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1285257667
  Medicare reassignment
• Golden Health Medical Group LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1043130677
  NPD (past) Authorized official
• Centerwell Senior Primary Care (NV) PC

  dba CenterWell Senior Primary Care-Green Valley

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1053029488
  NPD
• Centerwell Senior Primary Care (NV) PC

  dba CenterWell Senior Primary Care- South eastern

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1669095048
  NPD
• Centerwell Senior Primary Care NV P C

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1104449560
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1528828282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5599 ROLLINS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891186050",
            "telephone_number": "725-325-4848",
            "fax_number": "888-316-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 W POST RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482429",
            "telephone_number": "725-325-4848",
            "fax_number": "888-316-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "PENGFENG",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "LL4184",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "27917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shashannon Jimerson
• Jason C Jin
• Jeyun Jin
• Jong S Jin, DDS
• Manlin Jin, M.D.
• Sarah Jin
• Yinghong Jin
• Yumi Jin
• Jingle Ching Kavinta PLLC (K-Med Health Services)
• Thomas Jinkens

• Geriatric Medicine (Internal Medicine) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Geriatric Medicine (Internal Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.