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LEO GAN-LIM, M.D., PROF CORP
NPI 1093322158
Internal Medicine in Las Vegas, NV

Active since September 23, 2020
653 N TOWN CENTER DR STE 101, LAS VEGAS, NV 89144(702) 485-2791(702) 485-2812 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2023, Jun 19, 2023, Sep 24, 2020 (3 updates tracked since 2020).

About Leo Gan-lim, M.d., Prof Corp NPPES

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

LEO GAN-LIM, M.D., PROF CORP (NPI 1093322158) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since September 2020. The organization maintains a secondary practice location in Las Vegas and lists Leonardo Gan-lim, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1093322158
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLEO GAN-LIM, M.D., PROF CORP
Location Address653 N TOWN CENTER DR STE 101Las Vegas, NV 89144-0515
Mailing Address2654 Topaz Blue StLas Vegas, NV 89146-5490
Phone(702) 485-2791
Fax(702) 485-2812
Organization SubpartNo
Authorized OfficialLeonardo Gan-limManaging Member · (702) 461-2707
Enumeration DateSeptember 23, 2020
Last NPPES UpdateAugust 15, 20233 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1093322158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
653 N TOWN CENTER DR STE 101, Las Vegas, NV 89144
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Secondary Practice Location 1

Location 1657 N Town Center DrLas Vegas, NV 89144-6367 · Phone (702) 453-3799 · Fax (702) 453-5741

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Leo Gan-lim, M.d., Prof Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leo Gan-Lim, M.D., Prof Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Leonardo Gan-Lim, M.D.
Internal Medicine
NPI 1134180839
653 N TOWN CENTER DR STE 101
Las Vegas, NV 89144
(702) 805-2435
✔ PECOS✔ Accepts MedicareSame address

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 Leo Gan-Lim, M.D., Prof Corp's NPI number?

The NPI number for Leo Gan-Lim, M.D., Prof Corp is 1093322158. It was assigned to this organization in the NPPES registry on September 23, 2020.

Where is Leo Gan-Lim, M.D., Prof Corp located?

Leo Gan-Lim, M.D., Prof Corp is located at 653 N Town Center Dr Ste 101, Las Vegas, NV 89144. The listed phone number is (702) 485-2791.

What is Leo Gan-Lim, M.D., Prof Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Leo Gan-Lim, M.D., Prof Corp enrolled in Medicare?

Yes. Leo Gan-Lim, M.D., Prof Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leo Gan-Lim, M.D., Prof Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Leo Gan-Lim, M.D., Prof Corp. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leo Gan-Lim, M.D., Prof Corp was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.