1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Internal Medicine
  6. NPI Profile

CELESTIAL HEALTH SOLUTIONS
NPI 1124731401
Internal Medicine in Las Vegas, NV

Active since January 02, 2023
2255 RENAISSANCE DR STE B, LAS VEGAS, NV 89119(702) 500-1728(702) 356-3102 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2026, Jan 2, 2023 (2 updates tracked since 2023).

About Celestial Health Solutions NPPES

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

CELESTIAL HEALTH SOLUTIONS (NPI 1124731401) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since January 2023. The organization lists Mary Grace Mendiola Carillo, Director, as its authorized official.

NPPES Registry Identity

NPI1124731401
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCELESTIAL HEALTH SOLUTIONS
Location Address2255 RENAISSANCE DR STE BLas Vegas, NV 89119-6795
Mailing Address222 S Rainbow Blvd Ste 206Las Vegas, NV 89145-5356 · (702) 500-1728 · Fax (702) 356-3102
Phone(702) 500-1728
Fax(702) 356-3102
Organization SubpartNo
Authorized OfficialMary Grace Mendiola CarilloDirector · (702) 569-7244
Enumeration DateJanuary 2, 2023
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1124731401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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 ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
2255 RENAISSANCE DR STE B, Las Vegas, NV 89119
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Celestial Health Solutions is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Celestial Health Solutions, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Roy Marie Margallo, M.D.
Internal Medicine
NPI 1538314950
2255 RENAISSANCE DR STE B
Las Vegas, NV 89119
(702) 500-1728
✔ PECOS✔ Accepts MedicareSame address
John Valles, M.D.
Psychiatry
NPI 1972545994
2255 RENAISSANCE DR STE B
Las Vegas, NV 89119
(702) 500-1728
✔ PECOS✔ Accepts MedicareSame address
Mark Quim, APRN
Nurse Practitioner
NPI 1780456350
2255 RENAISSANCE DR STE B
Las Vegas, NV 89119
(702) 742-7580
✔ PECOS✔ Accepts Medicare0.1 mi
Grace Samson, APRN
Nurse Practitioner
NPI 1811650849
3059 S MARYLAND PKWY STE 202
Las Vegas, NV 89109
(702) 680-1500
✔ PECOS2.3 mi
Maria Mondonedo, APRN
Nurse Practitioner
NPI 1356052765
2621 W CHARLESTON BLVD
Las Vegas, NV 89102
(702) 431-2232
✔ PECOS✔ Accepts Medicare4.9 mi
Kurt Ricardo, APRN, PMHNP-BC
Nurse Practitioner
NPI 1336719764
6415 S FORT APACHE RD STE 1851096
Las Vegas, NV 89148
(702) 721-8131
✔ PECOS✔ Accepts Medicare10 mi
Janice Flores, FNP-C
Nurse Practitioner
NPI 1063034049
6900 N PECOS RD
North Las Vegas, NV 89086
(702) 791-9000
✔ PECOS✔ Accepts Medicare13 mi
Brian Johnson, APRN FNP-C
Nurse Practitioner
NPI 1487114583
6900 N PECOS RD
North Las Vegas, NV 89086
(702) 791-9000
✔ PECOS✔ Accepts Medicare13 mi

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 Celestial Health Solutions's NPI number?

The NPI number for Celestial Health Solutions is 1124731401. It was assigned to this organization in the NPPES registry on January 2, 2023.

Where is Celestial Health Solutions located?

Celestial Health Solutions is located at 2255 Renaissance Dr Ste B, Las Vegas, NV 89119. The listed phone number is (702) 500-1728.

What is Celestial Health Solutions's specialty?

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

Is Celestial Health Solutions enrolled in Medicare?

Yes. Celestial Health Solutions is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Celestial Health Solutions?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Celestial Health Solutions. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6), Internal Medicine (1) and Psychiatry (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Celestial Health Solutions was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.