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MARIA C ADOLFO MD
NPI 1255301347
Internal Medicine in Las Vegas, NV

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
5785 S FORT APACHE RD, STE. 100B, LAS VEGAS, NV 89148(702) 228-3111(702) 228-0411 Get Directions Write a Review

NPPES record last updated: November 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maria C Adolfo Md NPPES

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

MARIA C ADOLFO MD (NPI 1255301347) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (8438) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1255301347
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARIA C ADOLFOCredential: MD
Location Address5785 S FORT APACHE RD, STE. 100BLas Vegas, NV 89148-5659
Mailing Address9811 W Charleston Blvd Ste 2-845Las Vegas, NV 89117-7528 · (702) 228-3111 · Fax (702) 228-0411
Phone(702) 228-3111
Fax(702) 228-0411
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 23, 2006
Last NPPES UpdateNovember 1, 2013
✔ NPI 1255301347 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 · 8438
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.
5785 S FORT APACHE RD, Las Vegas, NV 89148
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Other Identifiers 1

Medicare PINV105046NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maria C Adolfo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466427430
PECOS Enrollment IDI20040901000911
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 Reassignment

Medicare enrollment records show Maria Adolfo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maria C Adolfo MD Ltd
2.3 mi
Internal Medicine
8285 W ARBY AVE STE 325
Las Vegas, NV 89113
  • Reassigned Medicare billing, Nevada enrollment
NPI 1407045180 (702) 228-3111

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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
165 services93 patients
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.
105 services78 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
99 services99 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89148 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
78%895 patients4/55-star benchmark: 96%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
96%139 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
68%505 patients3/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
100%61 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
53%494 patients3/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
13 suppliers32 claims62 services$5.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers14 claims18 services$0.92 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 suppliers12 claims12 services$67.75 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier19 claims19 services$7.38 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 3

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

ZK ENTERPRISES, INC
Internal Medicine (Cardiovascular Disease)
5785 S FORT APACHE RD, SUITE A-100
LAS VEGAS, NV 89148
Clark County (702) 822-2273
DR. ZIA UDDIN KHAN MD
Internal Medicine (Cardiovascular Disease)
5785 S FORT APACHE RD, SUITE A-100
LAS VEGAS, NV 89148
Clark County (702) 822-2273
ADVANCED MOLECULAR PET IMAGING LLC
Physiological Laboratory
5785 S FORT APACHE RD
LAS VEGAS, NV 89148
Clark County (725) 258-6793

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 Maria Adolfo's NPI number?

The NPI number for Maria Adolfo is 1255301347. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Maria Adolfo located?

Maria Adolfo practices at 5785 S Fort Apache Rd Ste. 100B, Las Vegas, NV 89148. The listed phone number is (702) 228-3111.

What is Maria Adolfo's specialty?

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

Is Maria Adolfo enrolled in Medicare?

Yes. Maria Adolfo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Maria Adolfo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Adolfo reassigns Medicare benefits to Maria C Adolfo MD Ltd (Las Vegas, 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 Maria Adolfo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Adolfo accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Maria Adolfo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Adolfo was last updated on November 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.