Individual provider Active NPI

Victor Lee Kim, DO

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1558655191
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2151 Issued in NV
Practice address
6655 W Sahara Ave Ste D104
Las Vegas, NV 89146-0846
Phone
(725) 205-2457
Fax
(725) 240-7742
NPI assigned
May 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2151 NV Primary
Family Medicine Physician 207Q00000X OS12867 FL

Addresses

Primary practice location

6655 W Sahara Ave Ste D104
Las Vegas, NV 89146-0846

Mailing address

6655 W Sahara Ave Ste D104
Las Vegas, NV 89146-0846
Phone (725) 205-2457

Other identifiers 1

IdentifierTypeStateIssuer
V50007OtherNVMEDICARE

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
I20170104001267 NV Practitioner - Family Practice 7315177383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Western University of Health Sciences College of Dental Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6671 Las Vegas Blvd S
Unit 210
Las Vegas, NV 89119-3289
Phone (213) 228-3538

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue358
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2151NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Okemefuna Okpara MD, PLLC CurrentSince Aug 20, 2025 Accepting new patients

Locations

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

6671 Las Vegas Blvd S
Unit 210
Las Vegas, NV 89119
Phone (702) 482-8892

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1558655191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE STE D104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460846",
            "telephone_number": "725-205-2457",
            "fax_number": "725-240-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE STE D104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460846",
            "telephone_number": "725-205-2457",
            "fax_number": "725-240-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "VICTOR",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2151",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS12867",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "V50007",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.