Individual provider Active NPI

Stephen L Tam, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1689738478
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12069 Issued in NV
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

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000538 NV Practitioner - Internal Medicine 2567565492 Reassigns benefits to 4 organizations

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
Mind Power Behavioral Services LLCGroup PAC ID 5890046916, 4 clinicians
Vegas Valley Primary CareGroup PAC ID 3476539552, 7 clinicians

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

LicenseStateTypeSpecialty
12069NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Power Medical Center LLC CurrentSince Jul 1, 2022 Accepting new patients
Mind Power Behavioral Services LLC CurrentSince May 1, 2025 Accepting new patients
Brain Power Medical Center LLC CurrentSince Jul 1, 2022 Accepting new patients
Vegas Valley Primary Care Internal Medicine CurrentSince Nov 22, 2006 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.