JOHNATHAN RYAN TAITANO DO
NPI 1184062309
Internal Medicine in Las Vegas, NV
About Johnathan Ryan Taitano Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNATHAN RYAN TAITANO DO (NPI 1184062309) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (DO2144) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Johnathan Ryan Taitano Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Johnathan Taitano reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Las Vegas, NV 89102
- Reassigned Medicare billing, Nevada enrollment
- 3 clinicians in this Medicare group
Henderson, NV 89015
- Reassigned Medicare billing, Nevada enrollment
- 521 clinicians in this Medicare group
Henderson, NV 89052
- Reassigned Medicare billing, Nevada enrollment
- 125 clinicians in this Medicare group
Las Vegas, NV 89128
- Reassigned Medicare billing, Nevada enrollment
- 26 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 89104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89104
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 Johnathan Taitano's NPI number?
The NPI number for Johnathan Taitano is 1184062309. It was assigned to this individual provider in the NPPES registry on June 10, 2013.
Where is Johnathan Taitano located?
Johnathan Taitano practices at 2208 S Nellis Blvd Ste 5, Las Vegas, NV 89104. The listed phone number is (702) 798-7770.
What is Johnathan Taitano's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Johnathan Taitano enrolled in Medicare?
Yes. Johnathan Taitano is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Johnathan Taitano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnathan Taitano reassigns Medicare benefits to 4 organizations: Instant Care Medical Group (Las Vegas, NV), Intermountain Medical Holdings Nevada Inc (Henderson, NV), Bessler MD, PLLC (Henderson, NV) and Doctors Center At Red Rock Capobianco PLLC (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 Johnathan Taitano'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 Johnathan Taitano was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Johnathan Ryan Taitano, DO · NPI 1184062309
Internal Medicine physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since June 10, 2013.
## Identity
- **NPI:** 1184062309 (Entity type: Individual)
- **Enumerated:** June 10, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** DO2144 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 2208 S NELLIS BLVD STE 5, Las Vegas, NV 89104-6211
- **Phone:** (702) 798-7770 · **Fax:** (702) 895-7776
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Instant Care Medical Group (NPI 1396583134, Las Vegas, NV); Intermountain Medical Holdings Nevada Inc (NPI 1245997279, Henderson, NV); Bessler MD, PLLC (NPI 1801288774, Henderson, NV); Doctors Center At Red Rock Capobianco PLLC (NPI 1942688932, Las Vegas, NV) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2025
- **Other identifiers:** Medicaid 1184062309 (NV); Other DO2144 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1184062309) · Data from the CMS NPPES public registry.