Timothy Jeider, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

16431 Issued in NV

Practice address

10785 W Twain Ave Ste 219
Las Vegas, NV 89135-3028

Phone

(702) 350-2906

NPI assigned

Apr 5, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NV, CO, TX, AZ, ID5 enrollments

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 5

Specialty

Psychiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Humboldt General HospitalGroup PAC ID 5193709798, shared by 5 NPIs, 41 clinicians

Psychiatry Services Professional Corporation Khurana JeiderGroup PAC ID 9234633413, 2 clinicians

Stark Medicine McKay Khurana Jeider PLLCGroup PAC ID 1557601978, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Psychiatry Services Professional Corporation Khurana Jeider

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1225887375

  AZ, CO, ID

  Medicare reassignment Care Compare group NPD Authorized official
• Stark Medicine McKay Khurana Jeider PLLC

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
  • NPI 1053880856
  Medicare reassignment Care Compare group
• Humboldt General Hospital

  • Critical Access Hospital
  • Winnemucca, NV
  • NPI 1750498010
  Medicare reassignment NPD
• Humboldt General Hospital

  • Adult Medicine Physician
  • Winnemucca, NV
  • NPI 1922152784
  Medicare reassignment NPD
• Lisa a Durette MD PLLC

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
  • NPI 1669679205
  Medicare reassignment NPD
• State of Nevada

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ely, NV
  • NPI 1760572010
  Medicare reassignment NPD
• Tuba City Regional Health Care Corporation

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  Psychiatry, TX

  Medicare reassignment NPD
• Jeider Limited

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
  • NPI 1013424100
  NPD Authorized official
• Humboldt General Hospital

  • Land Ambulance
  • Winnemucca, NV
  • NPI 1699899229
  NPD
• Lisa a Durette MD PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1235633421

  Psychiatry

  NPD
• Southern Nevada Adult Mental Health

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
  • NPI 1891756920
  NPD
• State of Nevada

  • Skilled Nursing Facility
  • Boulder City, NV
  • NPI 1083612741
  NPD

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1902149248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD",
            "address_2": "STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10785 W TWAIN AVE STE 219",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891353028",
            "telephone_number": "702-350-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEIDER",
        "first_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.207143",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "PGY.202293",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "16431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSBME",
            "identifier": "MD.207143",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNSHIP/RESIDENCY - TRAINING PURPOSES ONLY",
            "identifier": "PGY.202293",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSBME",
            "identifier": "16431",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristilyn Kay Jeffries, DPT
• Leon Jeffries
• Logan Ray Jeffries
• Robert Jeffries
• Jeider Limited
• Jason E Jeitz, CRNA
• Mitra Jeizan
• Jelani and Associates, LLC
• Ivana Jelavic, LIMHP, LPCC, LCPC
• Theresa Jelenchick

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.