NICOLAS A CAMILO MD
NPI 1003834987
Pediatrics - Pediatric Hematology-Oncology in Boise, ID

Q: What is Nicolas Camilo's NPI number?

The NPI number for Nicolas Camilo is 1003834987. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Nicolas Camilo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Nicolas Camilo was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 18, 2006PECOS Enrolled

100 E IDAHO ST., BOISE, ID 83712(208) 381-2782(208) 381-3172 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nicolas A Camilo Md NPPES

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

NICOLAS A CAMILO MD (NPI 1003834987) is an individual pediatric hematology-oncology provider in Boise, Idaho, licensed in Idaho (M-9357) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in El Paso, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1003834987

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameNICOLAS A CAMILOCredential: MD

Location Address100 E IDAHO ST.Boise, ID 83712

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2782 · Fax (208) 381-3172

Phone(208) 381-2782

Fax(208) 381-3172

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateJuly 18, 2006

Last NPPES UpdateSeptember 25, 2025

NPPES CertifiedSeptember 25, 2025

✔ NPI 1003834987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Licenses✔ Licensed in ID · M-9357✔ Licensed in TX · V2864

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

100 E IDAHO ST., Boise, ID 83712

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Secondary Practice Location 1

Location 14845 Alameda AveEl Paso, TX 79905-2705 · Phone (915) 298-5444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolas A Camilo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274569157

PECOS Enrollment IDI20260522002066

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicolas Camilo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

El Paso Children's Physician Group

975 mi

Specialist

5400 ALAMEDA AVE BLDG B
El Paso, TX 79905

Reassigned Medicare billing, Texas enrollment
59 clinicians in this Medicare group

NPI 1992067128 (915) 242-8402

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 Nicolas Camilo's NPI number?

The NPI number for Nicolas Camilo is 1003834987. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Nicolas Camilo located?

Nicolas Camilo practices at 100 E Idaho St., Boise, ID 83712. The listed phone number is (208) 381-2782.

What is Nicolas Camilo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Nicolas Camilo enrolled in Medicare?

Yes. Nicolas Camilo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicolas Camilo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Camilo reassigns Medicare benefits to El Paso Children's Physician Group (El Paso, TX). The 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 Nicolas Camilo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicolas Camilo accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Providence Health Plan list Nicolas Camilo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicolas Camilo was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.