JACKI MARIE DEGUZMAN M.D.
NPI 1013206614
Internal Medicine in Las Vegas, NV
About Jacki Marie Deguzman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKI MARIE DEGUZMAN M.D. (NPI 1013206614) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (15384) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacki Marie Deguzman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jacki Deguzman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Las Vegas, NV 89128
- Reassigned Medicare billing, Nevada enrollment
- 608 clinicians in this Medicare group
Las Vegas, NV 89106
- Reassigned Medicare billing, Nevada enrollment
- 406 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89144
LAS VEGAS, NV 89144
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 Jacki Deguzman's NPI number?
The NPI number for Jacki Deguzman is 1013206614. It was assigned to this individual provider in the NPPES registry on April 4, 2011.
Where is Jacki Deguzman located?
Jacki Deguzman practices at 10105 Banburry Cross Dr Suite 150, Las Vegas, NV 89144. The listed phone number is (702) 877-5199.
What is Jacki Deguzman's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jacki Deguzman enrolled in Medicare?
Yes. Jacki Deguzman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacki Deguzman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacki Deguzman reassigns Medicare benefits to 2 organizations: Optum Medical Group II Rhodes P C (Las Vegas, NV) and Southwest Medical Associates, Inc (Las Vegas, NV). Each 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 Jacki Deguzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacki Deguzman was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Jacki Marie Deguzman, M.D. · NPI 1013206614
Internal Medicine physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since April 4, 2011.
## Identity
- **NPI:** 1013206614 (Entity type: Individual)
- **Enumerated:** April 4, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 15384 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 10105 BANBURRY CROSS DR, SUITE 150, Las Vegas, NV 89144-6646
- **Phone:** (702) 877-5199 · **Fax:** (702) 854-3259
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Optum Medical Group II Rhodes P C (NPI 1790329407, Las Vegas, NV); Southwest Medical Associates, Inc (NPI 1659346005, Las Vegas, NV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** January 17, 2017
- **Other identifiers:** Other P01612764; Other V108806 (NV); Medicare PIN V108640 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1013206614) · Data from the CMS NPPES public registry.