DR. PHILIP GEORGE FEDOR DO
NPI 1184309874
Internal Medicine in Henderson, NV
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 and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2023).
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Dr. Philip George Fedor Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Philip Fedor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Henderson, NV 89052
- Reassigned Medicare billing, Nevada enrollment
- 319 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 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.
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.
HENDERSON, NV 89052
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.
Which organization bills Medicare for Philip Fedor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Fedor reassigns Medicare benefits to Platinum Hospitalists LLP (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 Philip Fedor'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 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 3 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.
# Dr. Philip George Fedor, DO · NPI 1184309874
Internal Medicine physician in Henderson, Nevada. Individual provider, active in the CMS NPPES registry since June 20, 2023.
## Identity
- **NPI:** 1184309874 (Entity type: Individual)
- **Enumerated:** June 20, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** DO4060 (Nevada)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10624 S EASTERN AVE # A-955, Henderson, NV 89052-2982
- **Phone:** (702) 407-7700 · **Fax:** (702) 407-7016
## 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:** Platinum Hospitalists LLP (NPI 1861627242, Henderson, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, Henderson, class of 2023
## Record status
- **NPPES last updated:** June 30, 2026
- **Other identifiers:** Medicaid 1184309874 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1184309874) · Data from the CMS NPPES public registry.