TAHNE VONGSAVATH DO
NPI 1154070779
Internal Medicine in Las Vegas, NV

Q: What is Tahne Vongsavath's NPI number?

The NPI number for Tahne Vongsavath is 1154070779. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Q: What is Tahne Vongsavath's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tahne Vongsavath was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment

1701 W CHARLESTON BLVD STE 230, LAS VEGAS, NV 89102(702) 660-8658(702) 676-3635 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, May 3, 2022 (2 updates tracked since 2022).

On this page

About Tahne Vongsavath Do NPPES

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

TAHNE VONGSAVATH DO (NPI 1154070779) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (DO3892) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2022).

NPPES Registry Identity

NPI1154070779

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameTAHNE VONGSAVATHCredential: DO

Location Address1701 W CHARLESTON BLVD STE 230Las Vegas, NV 89102-2312

Mailing Address3016 W Charleston Blvd Ste 100Las Vegas, NV 89102-1973 · (027) 802-3157 · Fax (702) 895-4014

Phone(702) 660-8658

Fax(702) 676-3635

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2022

Enumeration DateMarch 21, 2022

Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1154070779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NV · DO3892

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1701 W CHARLESTON BLVD STE 230, Las Vegas, NV 89102

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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

Tahne Vongsavath Do 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 ID6800271081

PECOS Enrollment IDI20250828003272

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.

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number290007

Location1800 W Charleston BlvdLas Vegas, NV 89102 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

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 20

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

UNKNOWN ABBAS

Student in an Organized Health Care Education/Training Program