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NICOLAS FUENTES PORTUGUEIZ M.D
NPI 1093339384
Surgery in Cleveland, OH

Active since June 02, 2020PECOS Enrolled
9500 EUCLID AVE # JJ24, CLEVELAND, OH 44195(216) 440-2200 Get Directions Write a Review

NPPES record last updated: August 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2026, Apr 19, 2026, Jun 2, 2020 (3 updates tracked since 2020).

About Nicolas Fuentes Portugueiz M.d NPPES

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

NICOLAS FUENTES PORTUGUEIZ M.D (NPI 1093339384) is an individual surgery provider in Cleveland, Ohio, licensed in Ohio (35.155337) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1093339384
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNICOLAS FUENTES PORTUGUEIZCredential: M.D
Location Address9500 EUCLID AVE # JJ24Cleveland, OH 44195-0001
Mailing Address9500 Euclid Ave # Jj24Cleveland, OH 44195-0001 · (216) 440-2200
Phone(216) 440-2200
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 2, 2020
Last NPPES UpdateAugust 8, 20263 updates tracked since enumeration
NPPES CertifiedAugust 8, 2026
✔ NPI 1093339384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35.155337
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9500 EUCLID AVE # JJ24, Cleveland, OH 44195
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Fuentes Portugueiz M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103386883
PECOS Enrollment IDI20260901004694
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 Fuentes Portugueiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Cleveland Clinic Foundation
Same address
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1679525919 (216) 444-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CHRISTOPHER JAMHOUR MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
DR. RILEY LYNN WILKINSON MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
DR. GUIDO ASCIONE MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
REBECCA LYNN PHILLIPS MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MR. CARL BOULOS M.D.
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
ALISON JIN
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
TATINI MAL-SARKAR
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
CLAIRE LOUISE POPOVICH
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200

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 Fuentes Portugueiz's NPI number?

The NPI number for Nicolas Fuentes Portugueiz is 1093339384. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Nicolas Fuentes Portugueiz located?

Nicolas Fuentes Portugueiz practices at 9500 Euclid Ave # Jj24, Cleveland, OH 44195. The listed phone number is (216) 440-2200.

What is Nicolas Fuentes Portugueiz's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicolas Fuentes Portugueiz enrolled in Medicare?

Yes. Nicolas Fuentes Portugueiz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicolas Fuentes Portugueiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Fuentes Portugueiz reassigns Medicare benefits to The Cleveland Clinic Foundation (Cleveland, OH). 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 Fuentes Portugueiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicolas Fuentes Portugueiz accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicolas Fuentes Portugueiz 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 Fuentes Portugueiz was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.