1. Home
  2. Directory
  3. Nevada
  4. Henderson
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PHILIP GEORGE FEDOR DO
NPI 1184309874
Internal Medicine in Henderson, NV

Active since June 20, 2023PECOS Enrolled
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052(702) 407-7700(702) 407-7016 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Philip George Fedor Do NPPES

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

DR. PHILIP GEORGE FEDOR DO (NPI 1184309874) is an individual internal medicine provider in Henderson, Nevada, licensed in Nevada (DO4060) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184309874
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PHILIP GEORGE FEDORCredential: DO
Location Address10624 S EASTERN AVE # A-955Henderson, NV 89052-2982
Mailing Address10624 S Eastern Ave # A-955Henderson, NV 89052-2982 · (702) 407-7700 · Fax (702) 407-7016
Phone(702) 407-7700
Fax(702) 407-7016
Sole ProprietorYes
Enumeration DateJune 20, 2023
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1184309874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · DO4060
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.
10624 S EASTERN AVE # A-955, Henderson, NV 89052
Open in Google Maps ↗

Other Identifiers 1

Medicaid1184309874NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Philip George Fedor 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 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.

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.

KAREN CARPIO ALOG FNP
Nurse Practitioner (Primary Care)
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Clark County (702) 407-7700
IQRA SAQIB DO
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Clark County (702) 800-5393
INAM QADIR MD
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Clark County (702) 407-7700
LEILA KHALILI M.D
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Clark County (702) 800-5393
ARHAMA FARHAT MD
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Clark County (702) 407-7700
DIPTI RHEA RAI MD
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Clark County (702) 800-5393
ANTHONY HAU NGUYEN DO
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Clark County (702) 407-7700
RUCHI DAKORIA
Internal Medicine
10624 S EASTERN AVE # A-955
HENDERSON, NV 89052
Clark County (702) 407-7700

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 Philip Fedor's NPI number?

The NPI number for Philip Fedor is 1184309874. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Philip Fedor located?

Philip Fedor practices at 10624 S Eastern Ave # A-955, Henderson, NV 89052. The listed phone number is (702) 407-7700.

What is Philip Fedor's specialty?

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

Is Philip Fedor enrolled in Medicare?

Yes. Philip Fedor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Fedor was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.