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JIM C CHIANG MD LTD
NPI 1710161518
Family Medicine in Boulder City, NV

Active since December 28, 2007
895 ADAMS BLVD, BOULDER CITY, NV 89005(702) 293-0406(702) 293-0192 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2023, Jul 11, 2023 (2 updates tracked since 2023).

About Jim C Chiang Md Ltd NPPES

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

JIM C CHIANG MD LTD (NPI 1710161518) is a healthcare organization registered as a family medicine in Boulder City, Nevada and active in the NPI registry since December 2007. The organization lists Jim C Chiang, Md, as its authorized official.

NPPES Registry Identity

NPI1710161518
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJIM C CHIANG MD LTD
Location Address895 ADAMS BLVDBoulder City, NV 89005
Mailing Address895 Adams BlvdBoulder City, NV 89005 · (702) 293-0406 · Fax (702) 293-0192
Phone(702) 293-0406
Fax(702) 293-0192
Organization SubpartYes
Authorized OfficialJim C ChiangMd · (702) 293-0406
Enumeration DateDecember 28, 2007
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1710161518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · 11503
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
895 ADAMS BLVD, Boulder City, NV 89005
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Other Identifiers 1

Medicaid1001507463NV

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)

Jim C Chiang Md Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jim C Chiang MD Ltd, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

James Chiang, MD
Family Practice
NPI 1306816566
895 ADAMS BLVD
Boulder City, NV 89005
(702) 293-0406
✔ PECOS✔ Accepts MedicareSame address
Devona Fagan, N.P.
Nurse Practitioner
NPI 1013167402
895 ADAMS BLVD
Boulder City, NV 89005
(702) 293-0406
✔ PECOSSame 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 Jim C Chiang MD Ltd's NPI number?

The NPI number for Jim C Chiang MD Ltd is 1710161518. It was assigned to this organization in the NPPES registry on December 28, 2007.

Where is Jim C Chiang MD Ltd located?

Jim C Chiang MD Ltd is located at 895 Adams Blvd, Boulder City, NV 89005. The listed phone number is (702) 293-0406.

What is Jim C Chiang MD Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jim C Chiang MD Ltd enrolled in Medicare?

Yes. Jim C Chiang MD Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jim C Chiang MD Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jim C Chiang MD Ltd, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jim C Chiang MD Ltd was last updated on August 30, 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.