SHADOW EMERGENCY PHYSICIANS PLLC
NPI 1487496998
Emergency Medicine in Henderson, NV

Active since June 07, 2024
865 E LAKE MEAD PKWY, HENDERSON, NV 89015(954) 939-5000 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2026, Sep 10, 2025, Jun 7, 2024 (3 updates tracked since 2024).

About Shadow Emergency Physicians Pllc NPPES

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

SHADOW EMERGENCY PHYSICIANS PLLC (NPI 1487496998) is a healthcare organization registered as an emergency medicine in Henderson, Nevada and active in the NPI registry since June 2024. The organization lists Edwin Homansky, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1487496998
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSHADOW EMERGENCY PHYSICIANS PLLC
Location Address865 E LAKE MEAD PKWYHenderson, NV 89015-5501
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 DateJune 7, 2024
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1487496998 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.
865 E LAKE MEAD PKWY, Henderson, NV 89015

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, 16 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
Nurse Practitioner
NPI 1417827460
98 E LAKE MEAD PKWY
Henderson, NV 89015
(702) 483-2969
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1972883320
270 W LAKE MEAD PKWY
Henderson, NV 89015
(702) 617-1227
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1447109103
319 MOUNT BARCROFT DR
Henderson, NV 89015
(725) 400-7810
✔ PECOS2.6 mi
Emergency Medicine
NPI 1134757099
1050 W GALLERIA DR
Henderson, NV 89011
(702) 963-7000
✔ PECOS✔ Accepts Medicare3.5 mi
Emergency Medicine
NPI 1538514724
1050 W GALLERIA DR
Henderson, NV 89011
(702) 963-7000
✔ PECOS✔ Accepts Medicare3.5 mi
Emergency Medicine
NPI 1871880534
1050 W GALLERIA DR
Henderson, NV 89011
(702) 963-7000
✔ PECOS✔ Accepts Medicare3.5 mi
Emergency Medicine
NPI 1184678336
2370 W HORIZON RIDGE PKWY SUITE 100
Henderson, NV 89052
(702) 897-3800
✔ PECOS7.3 mi
Nurse Practitioner
NPI 1396364055
9089 S PECOS RD STE 3500
Henderson, NV 89074
(702) 550-7025
✔ PECOS✔ Accepts Medicare7.4 mi
Emergency Medicine
NPI 1477519163
3810 E FLAMINGO RD
Las Vegas, NV 89121
(818) 515-7035
✔ PECOS7.9 mi
Nurse Practitioner
NPI 1962149021
11201 S EASTERN AVE STE 110
Henderson, NV 89052
(702) 992-3688
✔ PECOS✔ Accepts Medicare8.4 mi
Emergency Medicine
NPI 1972252260
3001 SAINT ROSE PKWY
Henderson, NV 89052
(702) 616-5000
✔ PECOS✔ Accepts Medicare8.5 mi
Emergency Medicine
NPI 1255996328
3001 SAINT ROSE PKWY
Henderson, NV 89052
(505) 515-9401
✔ PECOS✔ Accepts Medicare8.5 mi
Emergency Medicine
NPI 1750840070
3001 SAINT ROSE PKWY
Henderson, NV 89052
(559) 450-3500
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1093247454
7832 TANGO ST
Las Vegas, NV 89123
(702) 468-7514
✔ PECOS✔ Accepts Medicare9.4 mi
Emergency Medicine
NPI 1497405021
2075 E FLAMINGO RD
Las Vegas, NV 89119
(727) 437-0842
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1104628940
9785 S MARYLAND PKWY STE 2
Las Vegas, NV 89183
(702) 474-0077
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1619742327
1065 E FLAMINGO RD APT 824
Las Vegas, NV 89119
(702) 518-8866
✔ PECOS✔ Accepts Medicare10 mi
Emergency Medicine
NPI 1255795290
3186 S MARYLAND PKWY
Las Vegas, NV 89109
(702) 961-5000
✔ PECOS✔ Accepts Medicare11 mi
Emergency Medicine
NPI 1538797642
3186 S MARYLAND PKWY
Las Vegas, NV 89109
(702) 961-5000
✔ PECOS✔ Accepts Medicare11 mi
Pediatric Medicine
NPI 1497766596
1800 W CHARLESTON BLVD
Las Vegas, NV 89102
(702) 383-1958
✔ PECOS13 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 1487496998. It was assigned to this organization in the NPPES registry on June 7, 2024.

Where is Shadow Emergency Physicians PLLC located?

Shadow Emergency Physicians PLLC is located at 865 E Lake Mead Pkwy, Henderson, NV 89015. 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, 16 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 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.