SHADOW EMERGENCY PHYSICIANS PLLC
NPI 1043030919
Emergency Medicine in Las Vegas, NV

Active since October 15, 2024
10290 W FLAMINGO RD, LAS VEGAS, NV 89135(954) 939-5000 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Sep 10, 2025 (2 updates tracked since 2025).

About Shadow Emergency Physicians Pllc NPPES

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

SHADOW EMERGENCY PHYSICIANS PLLC (NPI 1043030919) is a healthcare organization registered as an emergency medicine in Las Vegas, Nevada and active in the NPI registry since October 2024. The organization lists Edwin Homansky, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1043030919
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSHADOW EMERGENCY PHYSICIANS PLLC
Location Address10290 W FLAMINGO RDLas Vegas, NV 89135-2652
Mailing AddressPo Box 848252Los Angeles, CA 90084-8252 · (954) 939-5000 · Fax (877) 250-6889
Organization SubpartNo
Authorized OfficialEdwin HomanskyAuthorized Official · (469) 401-2386
Enumeration DateOctober 15, 2024
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1043030919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
10290 W FLAMINGO RD, Las Vegas, NV 89135

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadow Emergency Physicians Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

160

Medicare enrollment records show 160 clinicians reassign Medicare billing to Shadow Emergency Physicians PLLC, which bills Medicare for the services they deliver. Of these, 87 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Emergency Medicine120
Nurse Practitioner34
Pediatric Medicine6

Nearest to this location (20)

See all 160
Pediatric Medicine
NPI 1326332545
5510 S FORT APACHE RD # 116
Las Vegas, NV 89148
(725) 867-8144
✔ PECOS✔ Accepts Medicare2.2 mi
Pediatric Medicine
NPI 1770042079
657 N TOWN CENTER DR
Las Vegas, NV 89144
(702) 233-7000
✔ PECOS✔ Accepts Medicare3.4 mi
Emergency Medicine
NPI 1861807679
657 N TOWN CENTER DR
Las Vegas, NV 89144
(702) 233-7000
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1992557862
657 N TOWN CENTER DR
Las Vegas, NV 89144
(702) 233-7000
✔ PECOS3.4 mi
Emergency Medicine
NPI 1205394608
657 N TOWN CENTER DR
Las Vegas, NV 89144
(702) 233-7000
✔ PECOS✔ Accepts Medicare3.5 mi
Emergency Medicine
NPI 1922636430
657 N TOWN CENTER DR
Las Vegas, NV 89144
(702) 233-7000
✔ PECOS✔ Accepts Medicare3.5 mi
Emergency Medicine
NPI 1942629134
657 N TOWN CENTER DR
Las Vegas, NV 89144
(702) 233-7000
✔ PECOS✔ Accepts Medicare3.5 mi
Emergency Medicine
NPI 1245736669
8530 W SUNSET RD STE 330
Las Vegas, NV 89113
(702) 582-5324
✔ PECOS✔ Accepts Medicare3.8 mi
Emergency Medicine
NPI 1487230819
6655 S CIMARRON RD STE 100
Las Vegas, NV 89113
(702) 853-3561
✔ PECOS✔ Accepts Medicare4.2 mi
Emergency Medicine
NPI 1275238016
6655 S CIMARRON RD STE 100
Las Vegas, NV 89113
(702) 853-3561
✔ PECOS✔ Accepts Medicare4.2 mi
Emergency Medicine
NPI 1477134054
6655 S CIMARRON RD STE 100
Las Vegas, NV 89113
(702) 853-3561
✔ PECOS✔ Accepts Medicare4.2 mi
Emergency Medicine
NPI 1609455492
6655 S CIMARRON RD STE 100
Las Vegas, NV 89113
(702) 853-3561
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1952758328
6900 N DURANGO DR
Las Vegas, NV 89149
(702) 629-1211
✔ PECOS✔ Accepts Medicare4.4 mi
Emergency Medicine
NPI 1588653125
6900 N DURANGO DR
Las Vegas, NV 89149
(702) 835-9700
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1891001616
657 N TOWN CENTER DR FL 5
Las Vegas, NV 89144
(702) 233-7435
✔ PECOS4.5 mi
Emergency Medicine
NPI 1881089829
5400 S RAINBOW BLVD
Las Vegas, NV 89118
(702) 853-5000
✔ PECOS✔ Accepts Medicare4.7 mi
Nurse Practitioner
NPI 1316289317
6045 S RAINBOW BLVD
Las Vegas, NV 89118
(702) 562-8800
✔ PECOS✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1497406102
8205 W WARM SPRINGS RD STE 250
Las Vegas, NV 89113
(702) 731-1616
✔ PECOS✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1487283834
6332 S RAINBOW BLVD
Las Vegas, NV 89118
(702) 227-1916
✔ PECOS✔ Accepts Medicare5.1 mi
Emergency Medicine
NPI 1124057443
500 N RAINBOW BLVD SUITE 203
Las Vegas, NV 89107
(702) 259-1228
✔ PECOS6.0 mi
See all 160 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shadow Emergency Physicians PLLC's NPI number?

The NPI number for Shadow Emergency Physicians PLLC is 1043030919. It was assigned to this organization in the NPPES registry on October 15, 2024.

Where is Shadow Emergency Physicians PLLC located?

Shadow Emergency Physicians PLLC is located at 10290 W Flamingo Rd, Las Vegas, NV 89135. The listed phone number is (954) 939-5000.

What is Shadow Emergency Physicians PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shadow Emergency Physicians PLLC enrolled in Medicare?

Yes. Shadow Emergency Physicians PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shadow Emergency Physicians PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 160 clinicians in 3 Medicare specialties reassign their Medicare billing to Shadow Emergency Physicians PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (120), Nurse Practitioner (34) and Pediatric Medicine (6). Of these, 87 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shadow Emergency Physicians PLLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.