TADESSE KEBEDE DEBELE MD, MS
NPI 1164999660
Family Medicine in Las Vegas, NV
About Tadesse Kebede Debele Md, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TADESSE KEBEDE DEBELE MD, MS (NPI 1164999660) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (26094) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kingman, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
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
Tadesse Kebede Debele Md, Ms 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 Reassignment
Medicare enrollment records show Tadesse Debele reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Henderson, NV 89014
- Reassigned Medicare billing, Nevada enrollment
- Medicare enrollment name: Archwell Health Professional Services Of Nevada PC
- 45 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89130 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tadesse Debele's NPI number?
The NPI number for Tadesse Debele is 1164999660. It was assigned to this individual provider in the NPPES registry on November 1, 2018.
Where is Tadesse Debele located?
Tadesse Debele practices at 4900 W Craig Rd, Las Vegas, NV 89130. The listed phone number is (252) 693-3687.
What is Tadesse Debele's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tadesse Debele enrolled in Medicare?
Yes. Tadesse Debele 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 organization bills Medicare for Tadesse Debele's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tadesse Debele reassigns Medicare benefits to Archwell Health Professional Services Of Nevada, P.C. (Henderson, NV). 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 Tadesse Debele'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 Tadesse Debele was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tadesse Kebede Debele, MD, MS · NPI 1164999660
Family Medicine physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since November 1, 2018.
## Identity
- **NPI:** 1164999660 (Entity type: Individual)
- **Enumerated:** November 1, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 26094 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 4900 W CRAIG RD, Las Vegas, NV 89130-2737
- **Phone:** (252) 693-3687 · **Fax:** (725) 293-5350
## 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:** Archwell Health Professional Services Of Nevada, P.C. (NPI 1487303145, Henderson, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** August 16, 2024
- **Other identifiers:** Medicaid 1164999660 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1164999660) · Data from the CMS NPPES public registry.