NPIMap

Individual provider Active NPI

Paul Tran, DO

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1609455492
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO3660 Issued in NV
Practice address
6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181
Phone
(702) 853-3561
NPI assigned
Apr 7, 2021
Last updated
May 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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 NU
Emergency Medicine Physician 207P00000X DO3660 NV Primary

Addresses

Primary practice location

6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181

Mailing address

6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628002842 NV Practitioner - Emergency Medicine 5395289532 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shadow Emergency Physicians PLLCGroup PAC ID 2860667375, 105 clinicians

Practice addresses (Care Compare)

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO3660NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 19, 2024 Accepting new patients
Shadow Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Nevada Emergency Physicians PLLC Emergency Medicine CurrentSince May 18, 2024 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 19, 2024 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine Current Accepting new patients
Nevada Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
Nevada Emergency Physicians PLLC Emergency Medicine CurrentSince May 18, 2024 Accepting new patients

Locations

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9004

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

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

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

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

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

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

9860 W Skye Cyn Dr
Las Vegas, NV 89166

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

1041 Steamboat Pkwy
Reno, NV 89521
Phone (702) 505-4230

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1609455492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 S CIMARRON RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 S CIMARRON RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132181",
            "telephone_number": "702-853-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO3660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.