Individual provider Active NPI

Gregory E Yager, DO

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1881787737
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1694 Issued in NV
Practice address
4100 W Flamingo Rd Ste 2100
Las Vegas, NV 89103-3926
Phone
(702) 822-5000
Fax
(702) 822-5001
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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 DO1694 NV Primary

Addresses

Primary practice location

4100 W Flamingo Rd Ste 2100
Las Vegas, NV 89103-3926

Mailing address

4100 W Flamingo Rd Ste 2100
Las Vegas, NV 89103-3926
Phone (702) 822-5000

Other identifiers 4

IdentifierTypeStateIssuer
000000228736OtherOHANTHEM
T07454OtherOHSUMMA
2389875MedicaidOH
P00066612OtherOHRR MEDICARE G YAGER

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
I20240730003370 NV Practitioner - Family Practice 7214078914 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1694NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Nevada Medical Hinitt PC CurrentSince Jun 16, 2024 Accepting new patients
Premise Health of Nevada Medical Hinitt P C Family Medicine Current Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

653 N Town Center Dr
Ste 112
Las Vegas, NV 89144
Phone (702) 733-0981

5500 Maryland Way
Ste 120
Brentwood, TN 37027

Organizations & group practices 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1881787737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W FLAMINGO RD STE 2100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033926",
            "telephone_number": "702-822-5000",
            "fax_number": "702-822-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W FLAMINGO RD STE 2100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033926",
            "telephone_number": "702-822-5000",
            "fax_number": "702-822-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGER",
        "first_name": "GREGORY",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO1694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000228736",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMA",
            "identifier": "T07454",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389875",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE G YAGER",
            "identifier": "P00066612",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.