Individual provider Active NPI

Joone H. J. Choi, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Las Vegas, NV
National Provider Identifier
1639305139
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
L-240018 Issued in MA
Practice address
99 MDG - Mike O'Callaghan Military Medical Center
4700 Las Vegas Blvd North
Las Vegas, NV 89191
Phone
(702) 653-3040
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X L-240018 MA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X L-240018 MA Primary

Addresses

Primary practice location

99 MDG - Mike O'Callaghan Military Medical Center
4700 Las Vegas Blvd North
Las Vegas, NV 89191

Mailing address

99 MDG - Mike O'Callaghan Military Medical Center
4700 Las Vegas Blvd North
Las Vegas, NV 89191
Phone (702) 653-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120126000869 MA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 0840467171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-240018MAMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1639305139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MDG - MIKE O'CALLAGHAN MILITARY MEDICAL CENTER",
            "address_2": "4700 LAS VEGAS BLVD NORTH",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89191",
            "telephone_number": "702-653-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MDG - MIKE O'CALLAGHAN MILITARY MEDICAL CENTER",
            "address_2": "4700 LAS VEGAS BLVD NORTH",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89191",
            "telephone_number": "702-653-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "JOONE",
        "middle_name": "H. J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "L-240018",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": "L-240018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.