Active NPI
Stephen L Tam, MD
- Internal Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12069
- Practice address
- 5380 S Rainbow
#110
Las Vegas, NV 89118-1878 - Phone
- (702) 838-3889
- Fax
- (702) 838-3890
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12069 | NV | Primary |
Addresses
Primary practice location
5380 S Rainbow
#110
Las Vegas, NV 89118-1878
Mailing address
PO Box 35949
Las Vegas, NV 89133-5949
Phone (206) 696-0765
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4530 S Eastern Ave
Suite 4
Las Vegas, NV 89119-6181
Phone (702) 518-0606
4570 S Eastern Ave
Suite 28
Las Vegas, NV 89119-6183
Phone (702) 476-3345
620 Shadow Lane
Las Vegas, NV 89106-4119
Phone (702) 388-4873
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12069 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain Power Medical Center LLC | Current | Accepting new patients | |
| Mind Power Behavioral Services LLC | Current | Accepting new patients | |
| Brain Power Medical Center LLC | Current | Accepting new patients | |
| Vegas Valley Primary Care | Internal Medicine | Current | Accepting new patients |
| Focus Care MD LTD | Internal Medicine | Current | Accepting new patients |
Locations
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
4530 S Eastern Ave
Ste 4
Las Vegas, NV 89119
Phone (702) 476-3345
4570 S Eastern Ave
Ste 28
Las Vegas, NV 89119
Phone (702) 361-8800
5380 S Rainbow Blvd
Ste 110
Las Vegas, NV 89118
Phone (702) 382-6100
6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
Organizations & group practices 6
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.
-
dba Mind Power Medical Group
- General Practice Physician
- Las Vegas, NV
- NPI 1851871768
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1881706109
-
- General Practice Physician
- Las Vegas, NV
- NPI 1265109011
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1386362408
-
- General Practice Physician
- Hawthorne, NV
- NPI 1154022523
-
dba Clark County Treatment and Rehab Center
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Las Vegas, NV
- NPI 1578261509
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CarePro Home Healthcare Services
- Home Health Agency
- Las Vegas, NV
- NPI 1538369897
-
- Home Health Agency
- Las Vegas, NV
- NPI 1316534134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1689738478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35949",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335949",
"telephone_number": "206-696-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 S RAINBOW",
"address_2": "#110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891181878",
"telephone_number": "702-838-3889",
"fax_number": "702-838-3890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "STEPHEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "12069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.