Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathanael John Gong

Individual provider Emergency Medicine Physician · NPI 1205394608

Nathanael John Gong is an Emergency Medicine in Las Vegas, Nevada. Qualified in 2020, 6 years ago. Practices with Shadow Emergency Physicians PLLC, a 109-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
6
Licensed in
NV
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

657 N Town Center Dr
Las Vegas, NV 89144-6367
Phone: (702) 233-7000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DO3320 (NV)

Record details

NPI number1205394608
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 5, 2019
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Shadow Emergency Physicians Pllc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Las Vegas