DR. RAOUL I TAMAYO MD
NPI 1053371369
Internal Medicine in Las Vegas, NV

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 207-8253(702) 207-8256 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Raoul I Tamayo Md NPPES

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

DR. RAOUL I TAMAYO MD (NPI 1053371369) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (13020) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1053371369
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAOUL I TAMAYOCredential: MD
Location Address1800 W CHARLESTON BLVDLas Vegas, NV 89102-2329
Mailing Address1800 W Charleston BlvdLas Vegas, NV 89102-2329 · (702) 207-8263 · Fax (702) 207-8256
Fax(702) 207-8256
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 23, 2006
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1053371369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · 13020
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 13020 (NV)
1800 W CHARLESTON BLVD, Las Vegas, NV 89102

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

Dr. Raoul I Tamayo Md 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.

PECOS PAC ID648321364
PECOS Enrollment IDI20090619000140
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 Reassignments

5

Medicare enrollment records show Raoul Tamayo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1800 W. CHARLESTON BLVD.
Las Vegas, NV 89102
  • Reassigned Medicare billing, Nevada enrollment
  • 522 clinicians in this Medicare group
Internal Medicine
3001 SAINT ROSE PKWY
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 125 clinicians in this Medicare group
Critical Care Medicine
3001 SAINT ROSE PKWY
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 46 clinicians in this Medicare group
Internal Medicine
1311 W CHERRY ST
Jesup, GA 31545
  • Reassigned Medicare billing, Nevada enrollment
  • 74 clinicians in this Medicare group
Internal Medicine
14000 FIVAY RD
Hudson, FL 34667
  • Reassigned Medicare billing, Florida enrollment
  • 335 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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
327 services95 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
62 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number290007
Location1800 W Charleston BlvdLas Vegas, NV 89102 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
88%95 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Family Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Student in an Organized Health Care Education/Training Program
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Radiology (Diagnostic Radiology)
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Emergency Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Dietitian, Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Dietitian, Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Nurse Anesthetist, Certified Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102

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 Raoul Tamayo's NPI number?

The NPI number for Raoul Tamayo is 1053371369. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Raoul Tamayo located?

Raoul Tamayo practices at 1800 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 207-8253.

What is Raoul Tamayo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raoul Tamayo enrolled in Medicare?

Yes. Raoul Tamayo 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 Raoul Tamayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raoul Tamayo reassigns Medicare benefits to 5 organizations: University Medical Center Of Southern Nevada (Las Vegas, NV), Bessler MD, PLLC (Henderson, NV), Sound Intensivists Of Nevada Rbessler MD PLLC (Henderson, NV), Rabessler MD PC (Jesup, GA) and Cogent Healthcare Of Pensacola LLC (Hudson, FL). 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 Raoul Tamayo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Raoul Tamayo affiliated with any hospitals?

According to CMS data, Raoul Tamayo is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Raoul Tamayo was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.