KENNETH TAM NP-C
NPI 1477884138
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Kenneth Tam's NPI number?

The NPI number for Kenneth Tam is 1477884138. It was assigned to this individual provider in the NPPES registry on January 20, 2010.

Q: What is Kenneth Tam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Tam was last updated on March 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 20, 2010PECOS Enrolled

4141 SWENSON ST, LAS VEGAS, NV 89119(702) 733-0320 Get Directions Write a Review

NPPES record last updated: March 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Kenneth Tam Np-c NPPES

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

KENNETH TAM NP-C (NPI 1477884138) is an individual family provider in Las Vegas, Nevada, licensed in Texas (AP118688) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477884138

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKENNETH TAMCredential: NP-C

Location Address4141 SWENSON STLas Vegas, NV 89119-6718

Mailing Address9048 Herring Cove AveLas Vegas, NV 89178-6269 · (512) 743-1829 · Fax (512) 590-7104

Phone(702) 733-0320

Sole ProprietorYes

Enumeration DateJanuary 20, 2010

Last NPPES UpdateMarch 2, 2019

✔ NPI 1477884138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP118688

4141 SWENSON ST, Las Vegas, NV 89119

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Secondary Practice Locations 2

Location 12725 S Jones Blvd Ste 102Las Vegas, NV 89146-5605 · Phone (702) 347-7000

Location 28133 Mesa Dr Ste 108Austin, TX 78759-8655 · Phone (512) 291-8076 · Fax (512) 590-7104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Tam Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Tam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trusted Primary Care

0.1 mi

Family Medicine

4131 UNIVERSITY CENTER DR
Las Vegas, NV 89119

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: Nathan Adelson Hospice Inc
22 clinicians in this Medicare group

NPI 1114509809 (702) 796-3112

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

Areas of Expertise CMS Part B claims 5

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.

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.

49 services32 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

45 services25 patients

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.

21 services17 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.

19 services14 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 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

$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 6

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

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