TIFFANY KIM PA-C
NPI 1033993266
Physician Assistant in Las Vegas, NV

Active since August 21, 2023PECOS EnrolledAccepts Medicare Assignment
302 E CARSON AVE FL 10, LAS VEGAS, NV 89101(855) 434-7763(949) 281-5550 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Aug 21, 2023 (2 updates tracked since 2023).

About Tiffany Kim Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY KIM PA-C (NPI 1033993266) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA3007) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Summerlin Hospital Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033993266
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIFFANY KIMCredential: PA-C
Location Address302 E CARSON AVE FL 10Las Vegas, NV 89101-5905
Mailing Address2592 N Santiago BlvdOrange, CA 92867-1862 · (855) 434-7763 · Fax (949) 281-5550
Fax(949) 281-5550
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 21, 2023
Last NPPES UpdateOctober 17, 20242 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
NPI 1033993266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NV · PA3007
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
302 E CARSON AVE FL 10, Las Vegas, NV 89101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tiffany Kim Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618322785
PECOS Enrollment IDI20240321004200
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
188 services49 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
93 services31 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
63 services63 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
31 services11 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
23 services19 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290041
Location657 Town Center DriveLas Vegas, NV 89144 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
302 E CARSON AVE FL 10
LAS VEGAS, NV 89101
Behavior Analyst
302 E CARSON AVE FL 10
LAS VEGAS, NV 89101
Dentist
302 E CARSON AVE FL 10
LAS VEGAS, NV 89101
Dentist (General Practice)
302 E CARSON AVE FL 10
LAS VEGAS, NV 89101
Durable Medical Equipment & Medical Supplies
302 E CARSON AVE FL 10
LAS VEGAS, NV 89101
Counselor (Professional)
302 E CARSON AVE FL 10
LAS VEGAS, NV 89101
Dentist (General Practice)
302 E CARSON AVE FL 10
LAS VEGAS, NV 89101
Nurse Practitioner
302 E CARSON AVE FL 10
LAS VEGAS, NV 89101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Kim's NPI number?

The NPI number for Tiffany Kim is 1033993266. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Tiffany Kim located?

Tiffany Kim practices at 302 E Carson Ave Fl 10, Las Vegas, NV 89101. The listed phone number is (855) 434-7763.

What is Tiffany Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tiffany Kim enrolled in Medicare?

Yes. Tiffany Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tiffany Kim affiliated with any hospitals?

According to CMS data, Tiffany Kim is affiliated with Summerlin Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Tiffany Kim was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.