Organization Active NPI

Betty H Yao MD a Professional Corporation

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1750301016
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BETTY H YAO MD A PROFESSIONAL CORPORATION
Practice address
5185 S Durango Dr
Ste 1
Las Vegas, NV 89113
Phone
(702) 933-6530
Fax
(702) 933-6533
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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

Authorized official

Name
Dr. Betty H Yao, MDNPI 1205957933
Title
Owner
Phone
(702) 933-6530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5185 S Durango Dr
Ste 1
Las Vegas, NV 89113

Mailing address

5185 S Durango Dr
Ste 1
Las Vegas, NV 89113
Phone (702) 933-6530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713000263 NV Part B Supplier - Clinic/Group Practice 4587642889 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

5185 S Durango Dr
Ste 1
Las Vegas, NV 89113
Phone (702) 463-1400

2020 Wellness Way
Ste 503
Las Vegas, NV 89106
Phone (702) 822-1356

5798 S Durango Dr
Ste 100
Las Vegas, NV 89113
Phone (702) 751-8555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1750301016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 S DURANGO DR",
            "address_2": "STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-933-6530",
            "fax_number": "702-933-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 S DURANGO DR",
            "address_2": "STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-933-6530",
            "fax_number": "702-933-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY H YAO MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-933-6530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.