NPIMap

Individual provider Active NPI

Stephen Vincent Disabatino, M.D.

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1881089829
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD70061258 Issued in WA
Practice address
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone
(702) 853-5000
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD70061258 WA Primary
Emergency Medicine Physician 207P00000X 17932 NV
Emergency Medicine Physician 207P00000X C4822 KY

Addresses

Primary practice location

5400 S Rainbow Blvd
Las Vegas, NV 89118

Mailing address

500 N Rainbow Blvd Ste 203
Las Vegas, NV 89107-1084
Phone (702) 259-1228

Other practice location 1

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 853-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, VT, KY, WA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180705001933 NV Practitioner - Emergency Medicine 3274889282 Reassigns benefits to 1 organization
I20220115000095 VT Practitioner - Emergency Medicine 3274889282 Reassigns benefits to 2 organizations
I20260106000093 KY Practitioner - Emergency Medicine 3274889282 Reassigns benefits to 1 organization
I20260203003407 WA Practitioner - Emergency Medicine 3274889282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians
Shadow Emergency Physicians PLLCGroup PAC ID 2860667375, 105 clinicians

Practice addresses (Care Compare)

1099 Medical Ctr Cir
Mayfield, KY 42066-1179
Phone (270) 251-4100

520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 547-7704

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C4822KYMDEmergency Medicine Physician
MD70061258WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Feb 1, 2022 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 6, 2024 Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Oct 1, 2025 Accepting new patients
Northeastern Vermont Regional Hospital Inc Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Doctors Medical Services, Emcare Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

Organizations & group practices 13

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 13

Hospital & facility affiliations 11

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1881089829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071084",
            "telephone_number": "702-259-1228",
            "fax_number": "702-259-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-853-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 S Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89118",
            "country_code": "US",
            "telephone_number": "702-853-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISABATINO",
        "first_name": "STEPHEN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD70061258",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "17932",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "C4822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.