Individual provider Active NPI

Jason Donovan Klein, D.O

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1700087392
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO2545 Issued in NV
Practice address
9880 W Flamingo Rd
Las Vegas, NV 89147-8085
Phone
(702) 216-7335
Fax
(702) 243-2560
NPI assigned
May 30, 2007
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO2545 NV Primary
Family Medicine Physician 207Q00000X 58002205 OH

Addresses

Primary practice location

9880 W Flamingo Rd
Las Vegas, NV 89147-8085

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

4980 W Sahara Ave
Las Vegas, NV 89146-3402
Phone (702) 216-7365

Other practice location 2

4855 Blue Diamond Rd
Las Vegas, NV 89139-7602
Phone (702) 216-7305

Other practice location 3

1900 23rd Street
Summa Western Reserve Hospital
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7000

Other practice location 4

1550 W Craig Rd
North Las Vegas, NV 89032-0327
Phone (702) 777-3615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110504000482 OH Practitioner - Emergency Medicine 2062697188 Reassigns benefits to 5 organizations
I20190813002200 NV Practitioner - Emergency Medicine 2062697188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1550 W Craig Rd
Suite 100
North Las Vegas, NV 89032-0329
Phone (702) 777-3615

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2545NVMDEmergency Medicine Physician
58002205OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Crum,Stefanko and Jones LTD Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince Sep 23, 2014 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine Current Accepting new patients
Ues Ahuja LLC Emergency Medicine CurrentSince Mar 1, 2014 Accepting new patients
University Hospitals Ahuja Medical Center, Inc CurrentSince Sep 23, 2014 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Jul 14, 2015 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
Memorial Hospital of Geneva Emergency Medicine Past Accepting new patients
Brown Memorial Hospital Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

4855 Blue Diamond Rd
Ste 100
Las Vegas, NV 89139
Phone (702) 216-7305

4980 W Sahara Ave
Ste 100
Las Vegas, NV 89146
Phone (702) 216-7365

1550 W Craig Rd
Ste 100
North Las Vegas, NV 89032
Phone (702) 777-3615

5901 E Royalton Rd
Broadview Heights, OH 44147
Phone (440) 792-9005

600 N Pickaway St
Ste 5
Circleville, OH 43113
Phone (740) 420-8097

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

8819 Commons Blvd
Ste 101
Twinsburg, OH 44087
Phone (330) 405-1500

Organizations & group practices 12

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 5

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1700087392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 W FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478085",
            "telephone_number": "702-216-7335",
            "fax_number": "702-243-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4980 W Sahara Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463402",
            "country_code": "US",
            "telephone_number": "702-216-7365",
            "fax_number": "702-889-0585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4855 Blue Diamond Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891397602",
            "country_code": "US",
            "telephone_number": "702-216-7305",
            "fax_number": "702-634-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 23rd Street",
            "address_2": "Summa Western Reserve Hospital",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "442231404",
            "country_code": "US",
            "telephone_number": "330-971-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 W Craig Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890320327",
            "country_code": "US",
            "telephone_number": "702-777-3615",
            "fax_number": "702-642-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JASON",
        "middle_name": "DONOVAN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO2545",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58002205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.