NPIMap

Individual provider Active NPI

Yonatan Ghiwot, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1982164141
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25327 Issued in NV
Practice address
1707 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2353
Phone
(702) 671-6469
Fax
(702) 671-5198
NPI assigned
Mar 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 151744 FL
Internal Medicine Physician 207R00000X 5904 TX
Internal Medicine Physician 207R00000X 0101275304 VA
Student in an Organized Health Care Education/Training Program 390200000X FL
Internal Medicine Physician 207R00000X 25327 NV Primary

Addresses

Primary practice location

1707 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2353

Mailing address

3016 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1973
Phone (702) 780-2315

Other practice location 1

670 Glades Rd Ste 400
Boca Raton, FL 33431-6464
Phone (561) 955-2570

Other practice location 2

2623 S Seacrest Blvd
Boynton Beach, FL 33435-7501
Phone (561) 735-6553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20220930002572 VA Practitioner - HospitalistPractitioner - Internal Medicine 7113251117 Reassigns benefits to 2 organizations
I20240805001867 NV Practitioner - Internal Medicine 7113251117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlv MedicineGroup PAC ID 4183991458, 177 clinicians

Practice addresses (Care Compare)

1707 W Charleston Blvd
Suite 230
Las Vegas, NV 89102-2353
Phone (702) 671-6412

Hospital & facility affiliations

  • University Medical Center Hospital, Las Vegas, NV, CCN 290007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151744FLMDInternal Medicine Physician
5904TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Virginia, PC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Unlv Medicine Internal Medicine Current Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Unlv Medicine CurrentSince Jun 28, 2024 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Unlv Medicine CurrentSince Jun 28, 2024 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

1707 W Charleston Blvd
Ste 230
Las Vegas, NV 89102
Phone (702) 671-5060

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

Organizations & group practices 7

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.

Hospital & facility affiliations 12

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1982164141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021973",
            "telephone_number": "702-780-2315",
            "fax_number": "702-895-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W CHARLESTON BLVD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022353",
            "telephone_number": "702-671-6469",
            "fax_number": "702-671-5198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Glades Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316464",
            "country_code": "US",
            "telephone_number": "561-955-2570",
            "fax_number": "561-955-2572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2623 S Seacrest Blvd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334357501",
            "country_code": "US",
            "telephone_number": "561-735-6553",
            "fax_number": "561-735-7739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHIWOT",
        "first_name": "YONATAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "151744",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "5904",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101275304",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "25327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.