Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184867301 Individual Practitioner Male Practitioner

Robert Gregory Nydam , IDMT

Physician Assistant • Las Vegas, NV

Professional Overview & Biography Verified Profile Summary

Robert Nydam, IDMT is a registered healthcare professional specializing in Physician Assistant in Las Vegas, NV. Practice services are available at 888 S RANCHO DR under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

888 S Rancho Dr

Las Vegas, NV 891063810

Telephone 7028778600
Fax 7022586152
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
501 Specialists

Practicing in Las Vegas, NV (1097 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
34 34 $1888.00 $157.38
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
33 31 $83.00 $7.20

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Military Health Care Provider - Independent Duty Medical Technicians

NUCC Taxonomy Code: 1710I1003X

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1184867301 (NV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Raymond Mathieson , PA-C

Physician Assistant

NPI 1023010576

Physician Assistant (Certified)

Brian Callier , PA-C

Physician Assistant - Medical

NPI 1033189170

Physician Assistant (Certified)

Cindy Miller , PA-C

Physician Assistant - Medical

NPI 1104067479

Physician Assistant (Certified)

Binni Kothari

Physician Assistant

NPI 1104215250
Dr. Ricardo Cruz , DO

Family Medicine

NPI 1104236215

Doctor of Osteopathic Medicine (D.O.)

Dr. Hollis Julson , MD

Family Medicine

NPI 1104811470

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2017

Registered at 888 S RANCHO DR, LAS VEGAS, NV 891063810 (Tel: 7028778600)

📍
Updated Business Mailing Address January 23, 2017

Registered at PO BOX 15645, LAS VEGAS, NV 891145645 (Tel: 7028778600)

👤
Provider Name / Credentials Updated January 23, 2017

Recorded as ROBERT NYDAM, IDMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2017

Physician Assistant

NPI Profile Active January 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2016

Registered at 2704 N TENAYA WAY, LAS VEGAS, NV 891280424 (Tel: 7022438500)

📍
Updated Business Mailing Address January 20, 2016

Registered at 2704 N TENAYA WAY, LAS VEGAS, NV 891280424

👤
Provider Name / Credentials Updated January 20, 2016

Recorded as ROBERT NYDAM, IDMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2016

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 17, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184867301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2009
Last Update: January 23, 2017
Sole Proprietor: No

Mailing Address

Po Box 15645

Las Vegas, NV 891145645

Phone: 7028778600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.