NPIMap

Individual provider Active NPI

Ryan Edward Korn, MD

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1922636430
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
27256 Issued in NV
Practice address
657 N Town Center Dr
Las Vegas, NV 89144-6367
Phone
(702) 233-7000
NPI assigned
Mar 30, 2020
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X A184971 CA
Emergency Medicine Physician 207P00000X 27256 NV Primary

Addresses

Primary practice location

657 N Town Center Dr
Las Vegas, NV 89144-6367

Mailing address

1379 W Park Western Dr # 168
San Pedro, CA 90732-2300
Phone (732) 996-7233

Other practice location 1

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (732) 996-7233

Other practice location 2

601 Elmwood Ave # 612
Rochester, NY 14642-9000
Phone (585) 275-4786

Other practice location 3

4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (310) 540-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240829002877 CA Practitioner - Emergency Medicine 2264971589 Reassigns benefits to 2 organizations
I20250523002186 NV Practitioner - Emergency Medicine 2264971589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Rochester School of Medicine and Dentistry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shadow Emergency Physicians PLLCGroup PAC ID 2860667375, 105 clinicians

Practice addresses (Care Compare)

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

6900 N Durango Dr
Las Vegas, NV 89149-4409
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A184971CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince May 14, 2025 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Regents of the University of Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Shadow Emergency Physicians PLLC Single Specialty Current Accepting new patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince May 14, 2025 Accepting new patients
Cep America - California Single Specialty Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Edwards MD PC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 963-7000

1155 Raiders Way
Henderson, NV 89052
Phone (702) 369-7671

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

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

Organizations & group practices 9

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.

Hospital & facility affiliations 8

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1922636430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 W PARK WESTERN DR # 168",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322300",
            "telephone_number": "732-996-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 N TOWN CENTER DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446367",
            "telephone_number": "702-233-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "732-996-7233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Elmwood Ave # 612",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146429000",
            "country_code": "US",
            "telephone_number": "585-275-4786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 Torrance Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905034607",
            "country_code": "US",
            "telephone_number": "310-540-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORN",
        "first_name": "RYAN",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A184971",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "27256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.