SHANNA MARIE P. BALTAR DO
NPI 1205251840
Internal Medicine - Geriatric Medicine in Las Vegas, NV

Q: What is Shanna Marie Baltar's NPI number?

The NPI number for Shanna Marie Baltar is 1205251840. It was assigned to this individual provider in the NPPES registry on February 18, 2014.

Q: What is Shanna Marie Baltar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since February 18, 2014PECOS Enrolled

2716 N TENAYA WAY, LAS VEGAS, NV 89128(702) 877-8600 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Shanna Marie P. Baltar Do NPPES

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

SHANNA MARIE P. BALTAR DO (NPI 1205251840) is an individual geriatric medicine provider in Las Vegas, Nevada, licensed in Nevada (DO2304) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hialeah.

NPPES Registry Identity

NPI1205251840

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameSHANNA MARIE P. BALTARCredential: DO

Location Address2716 N TENAYA WAYLas Vegas, NV 89128

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199

Phone(702) 877-8600

Sole ProprietorNo

Enumeration DateFebruary 18, 2014

Last NPPES UpdateJune 26, 2018

✔ NPI 1205251840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in NV · DO2304

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2716 N TENAYA WAY, Las Vegas, NV 89128

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Secondary Practice Location 1

Location 12001 W 68th St, Suite 202Hialeah, FL 33016-1801 · Phone (305) 364-2107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanna Marie P. Baltar 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.

Medicare Billing Reassignments

Medicare enrollment records show Shanna Marie Baltar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Medical Group II Rhodes P C

0.1 mi

Internal Medicine

2704 N TENAYA WAY
Las Vegas, NV 89128

Reassigned Medicare billing, Nevada enrollment
608 clinicians in this Medicare group

NPI 1790329407 (702) 877-5199

Albion Medical Group Of Nevada, PC

0.6 mi

Internal Medicine

3150 N TENAYA WAY STE A
Las Vegas, NV 89128

Reassigned Medicare billing, Nevada enrollment
53 clinicians in this Medicare group

NPI 1578840724 (702) 869-9200

Southwest Medical Associates, Inc

5.3 mi

Internal Medicine

888 S RANCHO DR
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
406 clinicians in this Medicare group

NPI 1659346005 (702) 877-8600

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 89128 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

$173.24 typical visit price

range $57.07 – $173.24

Typical copayment $43.31 (range $14.26 – $43.31)

Most-billed visit code 99205

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.

JOANNE M HYLTON APN

Nurse Practitioner (Gerontology)