Individual provider Active NPI

Kevin Ngo, DO

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1760019335
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO3237 Issued in NV
Practice address
4813 S Eastern Ave
Las Vegas, NV 89119-6188
Phone
(725) 231-9260
Fax
(833) 749-0364
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3237 NV Primary

Addresses

Primary practice location

4813 S Eastern Ave
Las Vegas, NV 89119-6188

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (725) 231-9260

Other practice location 1

6360 Boulder Hwy
Las Vegas, NV 89122-7301
Phone (725) 228-4520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kevin.ngo.1@29601.direct.athenahealth.com

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
I20230731001102 NV Practitioner - Family Practice 9638567530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerwell Senior Primary Care NV P CGroup PAC ID 5092132340, 71 clinicians

Practice addresses (Care Compare)

6360 Boulder Hwy
Las Vegas, NV 89122-7301
Phone (725) 228-4500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NV) PC Family Medicine CurrentSince Aug 7, 2023 Accepting new patients
Centerwell Senior Primary Care NV P C Family Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

80 S Martin Luther King Blvd
#100
Las Vegas, NV 89106
Phone (725) 228-4500

4813 S Eastern Ave
Las Vegas, NV 89119
Phone (725) 231-9260

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

6360 Boulder Hwy
Las Vegas, NV 89122
Phone (725) 228-4500

Interoperability endpoints

  • Direct secure messaging: kevin.ngo.1@29601.direct.athenahealth.com
  • Direct secure messaging: kevin.ngo@centerwell.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1760019335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "725-231-9260",
            "fax_number": "833-749-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196188",
            "telephone_number": "725-231-9260",
            "fax_number": "833-749-0364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6360 Boulder Hwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891227301",
            "country_code": "US",
            "telephone_number": "725-228-4520",
            "fax_number": "778-895-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "KEVIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO3237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevin.ngo.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4813 S Eastern Ave",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891196188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.