Individual provider Active NPI

Kimberly Bates, MD

  • Internal Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1730166091
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21628 Issued in NV
Practice address
1550 W Craig Rd Ste 220
North Las Vegas, NV 89032-0329
Phone
(702) 616-5801
Fax
(702) 399-8431
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21628 NV
Hospitalist Physician 208M00000X 21628 NV
Internal Medicine Physician 207R00000X ME175034 FL
Internal Medicine Physician 207R00000X 21628 NV Primary
Internal Medicine Physician 207R00000X 0101288352 VA
Internal Medicine Physician 207R00000X MD491493C PA
Pediatrics Physician 208000000X MD491493C PA

Addresses

Primary practice location

1550 W Craig Rd Ste 220
North Las Vegas, NV 89032-0329

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

1401 Roosevelt Ave
York, PA 17404-2244
Phone (877) 232-5807

Other practice location 2

52 Underwood St
Orlando, FL 32806-1110
Phone (888) 805-0085

Other practice location 3

3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 492-8592

Other practice location 4

1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone (757) 252-3050

Other practice location 5

8280 W Warm Springs Rd
Las Vegas, NV 89113-3612
Phone (702) 492-8592

Other practice location 6

102 E Lake Mead Pkwy
Henderson, NV 89015-5575
Phone (702) 492-8592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NV, MN, PA, FL, LA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20140904001513 GA Practitioner - Pediatric Medicine 9537062195 Reassigns benefits to 2 organizations
I20211027000329 NV Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9537062195 Reassigns benefits to 3 organizations
I20251113003283 MN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9537062195 Reassigns benefits to 1 organization
I20251121001224 PA Practitioner - Internal Medicine 9537062195 Reassigns benefits to 1 organization
I20260227003381 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9537062195 Reassigns benefits to 1 organization
I20260227004321 LA Practitioner - Internal Medicine 9537062195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Ohio State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical Group Nevada LLCGroup PAC ID 1254571896, 127 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

10001 S Eastern Ave
Suite 101
Henderson, NV 89052-3908
Phone (702) 616-5870

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 356-5198

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

25 Monument Rd
York, PA 17403-5073

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (866) 603-0016

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
63.87
Promoting interoperability
96
Improvement activities
40
Cost
76.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10006971DEMDInternal Medicine Physician
ME175034FLMDInternal Medicine Physician
0101288352VAMDInternal Medicine Physician
MD491493CPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Oct 15, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Northside Hospital, Inc. Current Accepting new patients
Gwinnett Medical Group, Inc Internal Medicine Current Accepting new patients
Allina Health System CurrentSince Oct 15, 2025 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2026 Accepting new patients
Wellspan Medical Group CurrentSince Dec 22, 2025 Accepting new patients
Ucm Medical Group Sub, LLC Internal Medicine CurrentSince Dec 23, 2025 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jan 26, 2026 Accepting new patients
Northside Hospital, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Allina Health System CurrentSince Jan 31, 2026 Accepting new patients
Wellspan Medical Group CurrentSince Dec 22, 2025 Accepting new patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 26, 2026 Accepting new patients
Dignity Health Medical Group Nevada, LLC CurrentSince Oct 21, 2021 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients
Christiana Care Health Services, Inc Pediatrics Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Allina Health System Past Accepting new patients
Ohio State University Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

665 Duluth Hwy
Ste 501
Lawrenceville, GA 30046
Phone (678) 312-0400

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

665 Duluth Hwy
Ste 401
Lawrenceville, GA 30046
Phone (678) 312-0450

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

27702 Network Pl
Chicago, IL 60673

1514 Jefferson Hwy
New Orleans, LA 70121

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

10001 S Eastern Ave
Ste 101
Henderson, NV 89052
Phone (702) 616-5870

800 N Gibson Rd
Ste 201
Henderson, NV 89011
Phone (702) 616-7650

8689 W Charleston Blvd
Ste 105
Las Vegas, NV 89117
Phone (702) 304-5900

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

1550 W Craig Rd
Ste 220
North Las Vegas, NV 89032
Phone (702) 620-7828

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250

Organizations & group practices 32

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.

View all 32

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1730166091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W CRAIG RD STE 220",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320329",
            "telephone_number": "702-616-5801",
            "fax_number": "702-399-8431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174042244",
            "country_code": "US",
            "telephone_number": "877-232-5807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "888-805-0085",
            "fax_number": "321-896-7623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Saint Rose Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523839",
            "country_code": "US",
            "telephone_number": "702-492-8592",
            "fax_number": "702-492-8045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Sentara Park # 3",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234645884",
            "country_code": "US",
            "telephone_number": "757-252-3050",
            "fax_number": "757-222-3106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8280 W Warm Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891133612",
            "country_code": "US",
            "telephone_number": "702-492-8592",
            "fax_number": "702-492-8045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 E Lake Mead Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890155575",
            "country_code": "US",
            "telephone_number": "702-492-8592",
            "fax_number": "702-492-8045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "KIMBERLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "21628",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "21628",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME175034",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "21628",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101288352",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD491493C",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD491493C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.