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JOHNATHAN RYAN TAITANO DO
NPI 1184062309
Internal Medicine in Las Vegas, NV

Active since June 10, 2013PECOS Enrolled
80.51/100
CMS Quality Rating
2208 S NELLIS BLVD STE 5, LAS VEGAS, NV 89104(702) 798-7770(702) 895-7776 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2025, Jan 8, 2025, Oct 20, 2022 and 2 more (5 updates tracked since 2016).

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

NPI1184062309
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHNATHAN RYAN TAITANOCredential: DO
Location Address2208 S NELLIS BLVD STE 5Las Vegas, NV 89104-6211
Mailing Address2610 S Jones Blvd Ste 1Las Vegas, NV 89146-5635 · (702) 723-8314 · Fax (702) 895-7776
Phone(702) 798-7770
Fax(702) 895-7776
Sole ProprietorNo
Enumeration DateJune 10, 2013
Last NPPES UpdateOctober 13, 20255 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1184062309 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 · DO2144
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 ListedSpecialistTaxonomy 174400000X · License SL0955 (NV)
2208 S NELLIS BLVD STE 5, Las Vegas, NV 89104
Open in Google Maps ↗

Secondary Practice Location 1

Location 12610 S Jones Blvd Ste 1Las Vegas, NV 89146-5635 · Phone (702) 798-7770 · Fax (702) 895-7776

Other Identifiers 2

Medicaid1184062309NV
OtherDO2144NV · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnathan Ryan Taitano Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services21 patients

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.

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.

80.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.16
Promoting Interoperability63.1
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims34 services$6.04 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$5.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$75.95 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$32.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

ROUDETTE FERRER
Nurse Practitioner (Gerontology)
2208 S NELLIS BLVD STE 5
LAS VEGAS, NV 89104
Clark County (702) 475-9000
MR. ROBERT ANTHONY GAIMARO PAC
Physician Assistant (Medical)
2208 S NELLIS BLVD STE 5
LAS VEGAS, NV 89104
Clark County (702) 798-7770

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.

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 9 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.