DR. BOUNGKHONG DAVID VANSOMPHONE M.D.
NPI 1457451262
Internal Medicine in Las Vegas, NV

Q: What is Boungkhong Vansomphone's NPI number?

The NPI number for Boungkhong Vansomphone is 1457451262. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is Boungkhong Vansomphone's specialty?

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

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment

5375 S FORT APACHE RD, STE# 101, LAS VEGAS, NV 89148(702) 597-1597 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Boungkhong David Vansomphone M.d. NPPES

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

DR. BOUNGKHONG DAVID VANSOMPHONE M.D. (NPI 1457451262) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (9448) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Asante Rogue Regional Medical Center, and is a graduate of University Of Nevada School Of Medicine (1997).

NPPES Registry Identity

NPI1457451262

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. BOUNGKHONG DAVID VANSOMPHONECredential: M.D.

Location Address5375 S FORT APACHE RD, STE# 101Las Vegas, NV 89148-7623

Mailing AddressPo Box 35984Las Vegas, NV 89133-5984 · (702) 453-3799 · Fax (702) 453-5741

Phone(702) 597-1597

Sole ProprietorYes

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1997

Enumeration DateSeptember 22, 2006

Last NPPES UpdateDecember 23, 2010

✔ NPI 1457451262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NV · 9448

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.

5375 S FORT APACHE RD, Las Vegas, NV 89148

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Other Identifiers 7

OtherDR48601CO · Lic

Medicare PINV40596NV

Medicare PINV104613NV

Medicare UPINH25909NV

OtherC53921CA · Lic

Other12431MT · Lic

Medicaid002018399NV

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

Dr. Boungkhong David Vansomphone M.d. 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 ID5991768905

PECOS Enrollment IDI20041111000179, I20110518000178, I20130108000047

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

762 services238 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

247 services235 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

212 services197 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

208 services74 patients

Hospital Affiliations CMS Care Compare 3

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

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380018

Location2825 E Barnett RoadMedford, OR 97504 · Jackson County

Emergency services Birthing friendly

Astria Toppenish Hospital

Acute Care Hospitals · Toppenish, WA

OwnershipVoluntary non-profit - Private

CMS Certification Number500037

Location502 W Fourth AveToppenish, WA 98948 · Yakima County

Emergency services

Astria Sunnyside Hospital

Critical Access Hospitals · Sunnyside, WA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number501330

Location1016 Tacoma AvenueSunnyside, WA 98944 · Yakima County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89148 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%539 patients5/55-star benchmark: 100%

Dementia: Functional Status Assessment

Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months

100%27 patients5/55-star benchmark: 100%

Dementia: Safety Concerns Screening and Mitigation Recommendations or Referral for Patients with Dementia

Percentage of patients with dementia or their caregiver(s) for whom there was a documented safety concerns screening * in two domains of risk: 1) dangerousness to self or others and 2) environmental risks; and if safety concerns screening was positive in the…

100%26 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%638 patients5/55-star benchmark: 100%

Pain Brought Under Control Within 48 Hours

Patients aged 18 and older who report being uncomfortable because of pain at the initial assessment (after admission to palliative care services) who report pain was brought to a comfortable level within 48 hours

100%754 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers40 claims40 services$16.51 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers109 claims109 services$101.04 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers47 claims47 services$35.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

SATISH SHARMA SINGLE MBR

Pain Medicine (Pain Medicine)

5375 S FORT APACHE RD, SUITE 102
LAS VEGAS, NV 89148

Clark County (702) 739-8323

SATISH SHARMA

Anesthesiology (Pain Medicine)

5375 S FORT APACHE RD, STE 102
LAS VEGAS, NV 89148

Clark County (702) 739-8323

MODERN WELLNESS CLINIC, LLC

Family Medicine

5375 S FORT APACHE RD
LAS VEGAS, NV 89148

Clark County (702) 463-9159

GOLDSMITH HEALTHCARE, LTD

Counselor (Mental Health)

5375 S FORT APACHE RD, 102-103
LAS VEGAS, NV 89148

Clark County (702) 646-9444

M BALASUBRAMANIAN MD INC

Internal Medicine

5375 S FORT APACHE RD, SUITE 110
LAS VEGAS, NV 89148

Clark County (702) 597-1597

EDWARD NEIL FISHMAN D.O.

Family Medicine (Adult Medicine)

5375 S FORT APACHE RD
LAS VEGAS, NV 89148

Clark County (702) 253-6888

DAVID VANSOMPHONE MD LTD

Internal Medicine

5375 S FORT APACHE RD, SUITE 101
LAS VEGAS, NV 89148

Clark County (702) 597-1597

MIRIELYS MERAYO MEJIAS FNP

Nurse Practitioner (Family)

5375 S FORT APACHE RD
LAS VEGAS, NV 89148

Clark County (702) 463-9159

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 Boungkhong Vansomphone's NPI number?

The NPI number for Boungkhong Vansomphone is 1457451262. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Boungkhong Vansomphone located?

Boungkhong Vansomphone practices at 5375 S Fort Apache Rd Ste# 101, Las Vegas, NV 89148. The listed phone number is (702) 597-1597.

What is Boungkhong Vansomphone's specialty?

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

Is Boungkhong Vansomphone enrolled in Medicare?

Yes. Boungkhong Vansomphone 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 Boungkhong Vansomphone affiliated with any hospitals?

According to CMS data, Boungkhong Vansomphone is affiliated with Asante Rogue Regional Medical Center, Astria Toppenish Hospital and Astria Sunnyside Hospital.

When was this NPI record last updated?

The NPPES record for Boungkhong Vansomphone was last updated on December 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.