TAEYONG SIM (M.D.) – Infectious Disease Physician, NPI 1417396003

TAEYONG SIM (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in INTERNAL MEDICINE, INFECTIOUS DISEASE, INFECTIOUS DISEASE. They hold the professional credentials M.D.. They hold a License No. 17903 (NV). The NPI Number for TAEYONG SIM (M.D.) is 1417396003

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
TAEYONG SIM (M.D.)
NPI
1417396003
Phone
(725) 200-3232
Address
2435 FIRE MESA ST # 120
Enumeration Date
18 June 2013
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2014085314
Graduation Year
2009 (17 years ago)
PAC ID
7416249487
Group Practice PAC ID
5395971709
Professional Enrollment ID
I20250514000516
Address ID
NJ076322717EN400XXAVEX302

Contacts

Secure Messaging
tsim@direct.iuhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:12State licenses:2Other names

1,575 INTERNAL MEDICINE in NV

Provider Addresses for TAEYONG SIM (M.D.)

  • 2435 FIRE MESA ST # 120

    LAS VEGAS, NV 891289009

    Phone: (725) 200-3232

    Fax: (725) 200-3233

    Type: Mailing

  • 2435 FIRE MESA ST STE 120

    LAS VEGAS, NV 891289009

    Phone: (702) 968-2437

    Fax: (702) 479-1796

    Type: Location

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 1000 S MAIN ST

    TIPTON, IN 460729753

    Phone: (765) 675-8500

    Fax: (765) 675-8520

    Type: Location

  • 16045 1ST AVE S FL 2

    BURIEN, WA 981481401

    Phone: (206) 243-3049

    Fax: (206) 965-4278

    Type: Mailing

  • 2435 Fire Mesa St Ste 120

    Las Vegas, NV 891289009

    Phone: (702) 968-2437

    Fax: (702) 479-1796

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200825001777IInfectious DiseaseINTBD
I20250514000516IInternal MedicineNJTBD
I20260305002867IInfectious DiseaseWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes287123$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes17185$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7776$0
99213Established patient office or other outpatient visit, 20-29 minutes3224$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 89128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395971709View full group profile
NameSpecialtyState
Internal MedicineNJ
-NJ

Reviews

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Frequently asked questions

What is the standard ID for TAEYONG SIM (M.D.) in the U.S.?
In the U.S., TAEYONG SIM (M.D.) is identified by NPI 1417396003.
Should I treat TAEYONG SIM (M.D.) as an active provider?
Patients and plans typically see TAEYONG SIM (M.D.) as active in the national extract.
What services align with TAEYONG SIM (M.D.)'s listing?
TAEYONG SIM (M.D.)'s public classification highlights Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Is TAEYONG SIM (M.D.) tied to Las Vegas, Nevada?
If you are local to Las Vegas, Nevada, TAEYONG SIM (M.D.) may be relevant to your search.
Can I export TAEYONG SIM (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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