Individual provider Active NPI

Tammy Kathryn Gephart, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1841301256
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001122 Issued in GA
Practice address
6850 N Durango Dr Ste 216
Las Vegas, NV 89149-4597
Phone
(702) 851-7287
Fax
(702) 224-5653
NPI assigned
Aug 31, 2006
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2062 NV
Foot & Ankle Surgery Podiatrist 213ES0103X POD001122 GA Primary

Addresses

Primary practice location

6850 N Durango Dr Ste 216
Las Vegas, NV 89149-4597

Mailing address

11401 Snow Leopard Dr
Las Vegas, NV 89138-6211
Phone (248) 819-1770

Other identifiers 8

IdentifierTypeStateIssuer
273104170OtherGACOVENTRY HEALTH OF GA
1841301256OtherGABLUE CROSS BLUE SHIELD OF GA
202I483324OtherGAMEDICARE OF GA
273104170OtherGAHUMANA GROUP HEALTH PLANS
6489180001OtherGARAILROAD MEDICARE (AUGUSTA, GA)
273104170OtherGACIGNA
273104170OtherGAAETNA HEALTH PLANS
1811291149OtherGADMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001122GAMDFoot & Ankle Surgery Podiatrist
2062NVMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kisha Murray Dread DPM PC Past Accepting new patients
Fhpim, PLC Past Accepting new patients
Krishna Podiatry Group of Georgia Foot & Ankle Surgery PastSince Oct 1, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1841301256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 SNOW LEOPARD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386211",
            "telephone_number": "248-819-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 216",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494597",
            "telephone_number": "702-851-7287",
            "fax_number": "702-224-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEPHART",
        "first_name": "TAMMY",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2062",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH OF GA",
            "identifier": "273104170",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF GA",
            "identifier": "1841301256",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OF GA",
            "identifier": "202I483324",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GROUP HEALTH PLANS",
            "identifier": "273104170",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE (AUGUSTA, GA)",
            "identifier": "6489180001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "273104170",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS",
            "identifier": "273104170",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1811291149",
            "state": "GA"
        }
    ],
    "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 Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.