Dr John J Kim, MD - Medicare Emergency Medicine in Las Vegas, NV

Dr John J Kim, MD is a medicare enrolled "Emergency Medicine" physician in Las Vegas, Nevada. He went to Medical College Of Wisconsin and graduated in 2000 and has 24 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Shadow Emergency Physicians Pllc and his current practice location is 620 Shadow Ln, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 388-4500.

Dr John J Kim is licensed to practice in Nevada (license number 10539) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104872993.

Contact Information

Dr John J Kim, MD
620 Shadow Ln,
Las Vegas, NV 89106-4119
(702) 388-4500
Not Available

Map and Direction




Physician's Profile

Full NameDr John J Kim
GenderMale
SpecialityEmergency Medicine
Experience24 Years
Location620 Shadow Ln, Las Vegas, Nevada
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John J Kim attended and graduated from Medical College Of Wisconsin in 2000
  NPI Data:
  • NPI Number: 1104872993
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5193851038
  • Enrollment ID: I20100330000570

Medical Identifiers

Medical identifiers for Dr John J Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104872993NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 10539 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summerlin Hospital Medical CenterLas vegas, NVHospital
Spring Valley Hospital Medical CenterLas vegas, NVHospital
Henderson HospitalHenderson, NVHospital
Valley Hospital Medical CenterLas vegas, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shadow Emergency Physicians Pllc2860667375103

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John J Kim allows following entities to bill medicare on his behalf.
Entity NameShadow Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184795874
PECOS PAC ID: 2860667375
Enrollment ID: O20111212000888
Entity NameNevada Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730957275
PECOS PAC ID: 6406260579
Enrollment ID: O20210201001975

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John J Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John J Kim, MD
9702 Hawk Cliff Ave,
Las Vegas, NV 89148-4731

Ph: (702) 768-5845
Dr John J Kim, MD
620 Shadow Ln,
Las Vegas, NV 89106-4119

Ph: (702) 388-4500

Reviews and Comments


Emergency Medicine Doctors in Las Vegas, NV

Dr. Andrew E Sheep, M.D.
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Phone: 267-209-3255    
William Chase Madsen,
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Dr. Kay E Mcmillan, DO
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Timothy Vanduzer, MD
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Phone: 702-259-1228    Fax: 702-259-1272
Dr. Henry R Landsman, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 10055 Canyon Hills Ave, Las Vegas, NV 89148
Phone: 702-497-0424    
Angel Li, MD
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Medicare: Medicare Enrolled
Practice Location: 6655 S Cimarron Rd Ste 100, Las Vegas, NV 89113
Phone: 702-233-7481    
Dr. Roya Laura Mahana, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 3186 S Maryland Pkwy, Las Vegas, NV 89109
Phone: 702-961-5000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.